THOMAS LISLE WARREN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

LISLE

Last Name

WARREN

Suffix

Business Name

THOMAS LISLE WARREN DO

Original Issue Date

01/12/2010

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

MARTINSVILLE

State

Zip

46151

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017