THOMAS JON POULTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134299

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JON

Last Name

POULTON

Business Name

THOMAS JON POULTON MD

Original Issue Date

12/13/2013

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

PHOENIX

State

Zip

85021

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017