THOMAS J FIRESTONE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068186

License Status

INACTIVE

Business

First Name

THOMAS J

Last Name

FIRESTONE

Suffix

Business Name

THOMAS J FIRESTONE MD

Original Issue Date

01/23/1984

Effective Date

01/23/1984

Expiration Date

07/31/1987

City

CATO

State

Zip

54206

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006