GRACE GEORGE THOMAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106259

License Status

INACTIVE

Business

First Name

GRACE

Middle

GEORGE

Last Name

THOMAS

Suffix

Business Name

GRACE GEORGE THOMAS MD

Original Issue Date

02/11/2002

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

47401

Ever Disciplined

LastModifiedDate

04/13/2022