THOMAS EDWARD AUSTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124079

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

EDWARD

Last Name

AUSTIN

Suffix

Business Name

THOMAS EDWARD AUSTIN MD

Original Issue Date

07/22/2009

Effective Date

07/22/2009

Expiration Date

07/31/2011

City

PRINCEVILLE

State

Zip

96722

Ever Disciplined

LastModifiedDate

11/14/2011