THOMAS BONNER LONGABAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035159

License Status

NOT RENEWED

Business

First Name

THOMAS BONNER

Last Name

LONGABAUGH

Suffix

Business Name

THOMAS BONNER LONGABAUGH MD

Original Issue Date

04/14/1958

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014