BEN HARLEY THOMAS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000988

License Status

NOT RENEWED

Business

First Name

BEN

Middle

HARLEY

Last Name

THOMAS

Suffix

Business Name

BEN HARLEY THOMAS DO

Original Issue Date

03/01/2014

Effective Date

03/01/2014

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

08/12/2014