THOMAS JAMES MASSUTTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074488

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

JAMES

Last Name

MASSUTTI

Business Name

THOMAS JAMES MASSUTTI MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2024

City

INDIANAPOLIS

State

Zip

46202

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/08/2022