THOMAS W BOX MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075577

License Status

INACTIVE

Business

First Name

THOMAS W

Last Name

BOX

Suffix

Business Name

THOMAS W BOX MD

Original Issue Date

08/01/1987

Effective Date

08/01/1987

Expiration Date

07/31/1993

City

SALEM

State

Zip

97302

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006