THOMAS LEE VONGILLERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062158

License Status

ACTIVE

Business

First Name

THOMAS LEE

Last Name

VONGILLERN

Suffix

Business Name

THOMAS LEE VONGILLERN MD

Original Issue Date

05/27/1981

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/29/2023