THOMAS WILLIAM COOK JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036097

License Status

INACTIVE

Business

First Name

THOMAS WILLIAM

Last Name

COOK JR

Suffix

Business Name

THOMAS WILLIAM COOK JR MD

Original Issue Date

09/09/1959

Effective Date

09/09/1959

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006