TOM V PAGANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000266

License Status

EXPIRED

Business

First Name

TOM

Middle

Last Name

PAGANO

Suffix

Business Name

TOM V PAGANO MD

Original Issue Date

11/30/2005

Effective Date

11/30/2005

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/23/2006