THOM S THOMASSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

THOM

Middle

Last Name

THOMASSEN

Suffix

Business Name

THOM S THOMASSEN MD

Original Issue Date

01/16/1996

Effective Date

01/16/1996

Expiration Date

07/31/1996

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020