VALERIE S THOMPSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047145

License Status

EXPIRED

Business

First Name

VALERIE

Middle

Last Name

THOMPSON

Business Name

VALERIE S THOMPSON

Original Issue Date

01/12/2004

Effective Date

01/12/2004

Expiration Date

01/11/2007

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/26/2007