MARY J THOMAS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

THOMAS

Business Name

MARY J THOMAS

Original Issue Date

04/12/2002

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023