MARY THERESA ANN ADAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

MARY THERESA

Middle

ANN

Last Name

ADAMS

Business Name

MARY THERESA ANN ADAMS MD

Original Issue Date

03/09/2017

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62902

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021