THOMAS A DIVEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127979

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

DIVEN

Suffix

Business Name

THOMAS A DIVEN MD

Original Issue Date

06/01/2011

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

SAGINAW

State

Zip

48603

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014