THOMAS A CORNWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

CORNWELL

Suffix

Business Name

THOMAS A CORNWELL MD

Original Issue Date

10/14/1987

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021