THOMAS J SHULA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074760

License Status

ACTIVE

Business

First Name

THOMAS J

Last Name

SHULA

Business Name

THOMAS J SHULA

Original Issue Date

04/03/1987

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2023