THOMAS JONATHAN FOUTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154784

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

JONATHAN

Last Name

FOUTZ

Business Name

THOMAS JONATHAN FOUTZ MD

Original Issue Date

11/17/2020

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

FENTON

State

Zip

63026

Ever Disciplined

LastModifiedDate

04/13/2023