THOMAS W BROCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050452

License Status

INACTIVE

Business

First Name

THOMAS W

Last Name

BROCK

Suffix

Business Name

THOMAS W BROCK MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

Expiration Date

07/31/1987

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/20/2006