AMY E THOMAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

THOMAS

Suffix

Business Name

AMY E THOMAS MD

Original Issue Date

06/19/2008

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017