THOMAS G DE TORRES

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****28

ACTIVE

N

THOMAS

G

DE TORRES

THOMAS G DE TORRES

06/13/2001

02/03/2026

03/01/2028

CARBONDALE

IL

62901

VERMILION

II III IV V

N

02/03/2026