NADINE V L THOMAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

NADINE

Middle

V L

Last Name

THOMAS

Business Name

NADINE V L THOMAS MD

Original Issue Date

08/21/2009

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014