THOMAS W MOFFATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062773

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

MOFFATT

Suffix

Business Name

THOMAS W MOFFATT MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/01/1982

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006