SEANNA ANTONIA THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

SEANNA

Middle

ANTONIA

Last Name

THOMPSON

Suffix

Business Name

SEANNA ANTONIA THOMPSON MD

Original Issue Date

06/19/2007

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014