THOMAS AUSTIN LACY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108234

License Status

INACTIVE

Business

First Name

THOMAS

Middle

AUSTIN

Last Name

LACY

Suffix

Business Name

THOMAS AUSTIN LACY MD

Original Issue Date

12/02/2002

Effective Date

11/01/2006

Expiration Date

07/31/2008

City

ORLANDO

State

Zip

32817

Ever Disciplined

LastModifiedDate

05/02/2008