THOMAS A CORNWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

CORNWELL

Suffix

Business Name

THOMAS A CORNWELL MD

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

07/31/1996

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020