JEANIE MARIE THOMPSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

JEANIE

Middle

MARIE

Last Name

THOMPSON

Suffix

Business Name

JEANIE MARIE THOMPSON MD

Original Issue Date

08/09/2001

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2023