BRENDAN MICHAEL THOMAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054178

License Status

CANCELLED

Business

First Name

BRENDAN

Middle

MICHAEL

Last Name

THOMAS

Suffix

Business Name

BRENDAN MICHAEL THOMAS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/17/2011