THOMAS G DIAZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072780

License Status

INACTIVE

Business

First Name

THOMAS G

Last Name

DIAZ

Suffix

Business Name

THOMAS G DIAZ MD

Original Issue Date

06/02/1986

Effective Date

06/02/1986

Expiration Date

07/31/1987

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006