THOMAS LANDIS RATCHFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

LANDIS

Last Name

RATCHFORD

Business Name

THOMAS LANDIS RATCHFORD MD

Original Issue Date

01/28/2020

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023