THOMAS OWEN GENESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119084

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

OWEN

Last Name

GENESE

Suffix

Business Name

THOMAS OWEN GENESE MD

Original Issue Date

07/26/2007

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017