DALLAS E THOMPSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000487

License Status

EXPIRED

Business

First Name

DALLAS

Middle

Last Name

THOMPSON

Suffix

Business Name

DALLAS E THOMPSON DO

Original Issue Date

08/02/2000

Effective Date

08/02/2000

Expiration Date

09/01/2000

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006