TOM MARVIN SCHOSSAU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034565

License Status

EXPIRED

Business

First Name

TOM MARVIN

Last Name

SCHOSSAU

Business Name

TOM MARVIN SCHOSSAU

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006