THOMAS LEE VONGILLERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

THOMAS LEE

Last Name

VONGILLERN

Suffix

Business Name

THOMAS LEE VONGILLERN MD

Original Issue Date

01/01/1997

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023