LARRY BRIAN THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114298

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

BRIAN

Last Name

THOMPSON

Suffix

Business Name

LARRY BRIAN THOMPSON MD

Original Issue Date

08/01/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SAN LUIS OBISPO

State

Zip

93405

Ever Disciplined

LastModifiedDate

11/14/2011