THOMAS BECKER WILTBANK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060343

License Status

INACTIVE

Business

First Name

THOMAS BECKER

Last Name

WILTBANK

Suffix

Business Name

THOMAS BECKER WILTBANK MD

Original Issue Date

05/16/1980

Effective Date

05/16/1980

Expiration Date

07/31/1993

City

SCOTTSDALE

State

Zip

85257

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006