JENNIFER NICOLE THOMPSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000475

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

NICOLE

Last Name

THOMPSON

Business Name

JENNIFER NICOLE THOMPSON MD

Original Issue Date

11/05/2011

Effective Date

11/05/2011

Expiration Date

05/04/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/02/2012