JACOB WILLIAM THOMAS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071136

License Status

EXPIRED

Business

Title

First Name

JACOB

Middle

WILLIAM

Last Name

THOMAS

Business Name

JACOB WILLIAM THOMAS DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

LA GRANGE

State

Zip

60525

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020