THOMAS PAUL LYNGHOLM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015930

License Status

EXPIRED

Business

First Name

THOMAS PAUL

Last Name

LYNGHOLM

Suffix

Business Name

THOMAS PAUL LYNGHOLM MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006