KIDA ADANA THOMPSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062287

License Status

EXPIRED

Business

Title

First Name

KIDA

Middle

ADANA

Last Name

THOMPSON

Business Name

KIDA ADANA THOMPSON MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015