SMITHA J THOMAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111033

License Status

NOT RENEWED

Business

First Name

SMITHA

Middle

Last Name

THOMAS

Business Name

SMITHA J THOMAS

Original Issue Date

03/18/2004

Effective Date

03/18/2004

Expiration Date

07/31/2005

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/09/2006