THOMAS KEVIN CEBALLOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172368

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

KEVIN

Last Name

CEBALLOS

Business Name

THOMAS KEVIN CEBALLOS MD

Original Issue Date

10/17/2024

Effective Date

10/17/2024

Expiration Date

07/31/2026

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

10/17/2024