STOSH THOMAS EICHENAUER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

STOSH

Middle

THOMAS

Last Name

EICHENAUER

Business Name

STOSH THOMAS EICHENAUER MD

Original Issue Date

01/06/2017

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023