THOM A MAYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111572

License Status

NOT RENEWED

Business

First Name

THOM

Middle

Last Name

MAYER

Suffix

Business Name

THOM A MAYER MD

Original Issue Date

06/08/2004

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

FAIRFAX

State

Zip

22030

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/01/2017