TOM K PENCE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041923

License Status

NOT RENEWED

Business

First Name

TOM K

Last Name

PENCE

Suffix

Business Name

TOM K PENCE DO

Original Issue Date

07/18/1968

Effective Date

07/18/1968

Expiration Date

07/31/1999

City

COLORADO SPRINGS

State

Zip

80909

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006