THOMAS R SKAGGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037214

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

SKAGGS

Suffix

Business Name

THOMAS R SKAGGS MD

Original Issue Date

06/02/1961

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017