THOMAS A DENNISON 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

THOMAS A

Last Name

DENNISON

Suffix

Business Name

THOMAS A DENNISON MD

Original Issue Date

08/27/1982

Effective Date

08/27/1982

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020