LISA ELLA THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132895

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

ELLA

Last Name

THOMPSON

Business Name

LISA ELLA THOMPSON MD

Original Issue Date

05/10/2013

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

NEW YORK

State

Zip

10035

Ever Disciplined

LastModifiedDate

11/01/2017