THOMAS R BOXLEITER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092993

License Status

INACTIVE

Business

First Name

THOMAS R

Last Name

BOXLEITER

Suffix

Business Name

THOMAS R BOXLEITER MD

Original Issue Date

05/30/1996

Effective Date

06/29/2017

Expiration Date

09/30/2020

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

04/05/2020