THOMAS M LEAVENWORTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081592

License Status

INACTIVE

Business

First Name

THOMAS M

Last Name

LEAVENWORTH

Suffix

Business Name

THOMAS M LEAVENWORTH MD

Original Issue Date

10/06/1990

Effective Date

10/06/1990

Expiration Date

07/31/1993

City

TIPTON

State

Zip

52772

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006