GRACY THOMAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

GRACY

Last Name

THOMAS

Suffix

Business Name

GRACY THOMAS MD

Original Issue Date

02/06/1997

Effective Date

02/06/1997

Expiration Date

07/31/1999

City

ST LOUIS

State

Zip

63021

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006