THOMAS F INGERSOLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

THOMAS F

Last Name

INGERSOLL

Suffix

Business Name

THOMAS F INGERSOLL MD

Original Issue Date

05/16/1986

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021