THOMAS S DOUGLASS III Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085310

License Status

NOT RENEWED

Business

First Name

THOMAS S

Last Name

DOUGLASS III

Business Name

THOMAS S DOUGLASS III

Original Issue Date

09/11/1992

Effective Date

09/11/1992

Expiration Date

07/31/1996

City

SHERRARD

State

Zip

61281

County

MERCER

Ever Disciplined

LastModifiedDate

09/20/2006