THOMAS LISLE WARREN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124807

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

LISLE

Last Name

WARREN

Suffix

Business Name

THOMAS LISLE WARREN DO

Original Issue Date

01/05/2010

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

MARTINSVILLE

State

Zip

46151

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017