THOMAS E ROOT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043781

License Status

INACTIVE

Business

First Name

THOMAS E

Last Name

ROOT

Suffix

Business Name

THOMAS E ROOT MD

Original Issue Date

09/24/1970

Effective Date

05/30/2008

Expiration Date

07/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/07/2011