THOMAS W EDHOLM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092022

License Status

INACTIVE

Business

First Name

THOMAS W

Last Name

EDHOLM

Business Name

THOMAS W EDHOLM

Original Issue Date

10/07/1995

Effective Date

10/07/1995

Expiration Date

07/31/1999

City

LOS ANGELES

State

Zip

90049

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006