TIMOTHY MORRIS THOMPSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112767

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

MORRIS

Last Name

THOMPSON

Suffix

Business Name

TIMOTHY MORRIS THOMPSON DO

Original Issue Date

12/10/2004

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017