THOMAS P SPIEGEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

SPIEGEL

Business Name

THOMAS P SPIEGEL

Original Issue Date

06/21/2002

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/16/2020