THOMAS S PANNKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082813

License Status

INACTIVE

Business

First Name

THOMAS

Middle

Last Name

PANNKE

Suffix

Business Name

THOMAS S PANNKE MD

Original Issue Date

06/28/1991

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ASHWAUBENON

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/07/2013