JENNIFER MAVIS THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099020

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MAVIS

Last Name

THOMPSON

Suffix

Business Name

JENNIFER MAVIS THOMPSON MD

Original Issue Date

09/10/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WINDER

State

Zip

30680

Ever Disciplined

LastModifiedDate

11/06/2008