JAMES THOMAS DANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111986

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

THOMAS

Last Name

DANE

Suffix

Business Name

JAMES THOMAS DANE MD

Original Issue Date

07/29/2004

Effective Date

07/29/2004

Expiration Date

07/31/2005

City

SALT LAKE CITY

State

Zip

84105

County

UTAH

Ever Disciplined

LastModifiedDate

10/09/2006