KEVIN E THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

KEVIN E

Last Name

THOMPSON

Suffix

Business Name

KEVIN E THOMPSON MD

Original Issue Date

02/24/1992

Effective Date

02/24/1992

Expiration Date

07/31/1993

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020