SHANTI THOAMS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022618

License Status

EXPIRED

Business

First Name

SHANTI

Last Name

THOAMS

Business Name

SHANTI THOAMS

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

07/01/1991

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006