THOMAS P VARIED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121386

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

VARIED

Suffix

Business Name

THOMAS P VARIED MD

Original Issue Date

07/02/2008

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

SOUTH BEND

State

Zip

46628

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017