THOMAS JOHN CHURCH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150492

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

JOHN

Last Name

CHURCH

Business Name

THOMAS JOHN CHURCH

Original Issue Date

08/13/2019

Effective Date

08/13/2019

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

01/14/2021