JOHN LORENZO THURSTON JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

LORENZO

Last Name

THURSTON

Business Name

JOHN LORENZO THURSTON JR

Original Issue Date

02/18/2020

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023