ANTOINETTE GAGE THOMAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041054

License Status

INACTIVE

Business

First Name

ANTOINETTE GAGE

Last Name

THOMAS

Suffix

Business Name

ANTOINETTE GAGE THOMAS MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

Expiration Date

07/31/1999

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006