THOMAS PAUL LYNGHOLM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

THOMAS PAUL

Last Name

LYNGHOLM

Suffix

Business Name

THOMAS PAUL LYNGHOLM MD

Original Issue Date

10/11/1984

Effective Date

10/11/1984

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006