THOM S THOMASSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

THOM

Middle

Last Name

THOMASSEN

Suffix

Business Name

THOM S THOMASSEN MD

Original Issue Date

12/13/1999

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53545

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023