THOMAS CALVIN JEFFERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103136

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

CALVIN

Last Name

JEFFERSON

Suffix

Business Name

THOMAS CALVIN JEFFERSON MD

Original Issue Date

07/24/2000

Effective Date

07/24/2000

Expiration Date

07/31/2002

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

10/09/2006