THOMAS OWEN GENESE 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

First Name

THOMAS

Middle

OWEN

Last Name

GENESE

Suffix

Business Name

THOMAS OWEN GENESE MD

Original Issue Date

07/26/2007

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017