THOM S THOMASSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092307

License Status

ACTIVE

Business

First Name

THOM

Middle

Last Name

THOMASSEN

Suffix

Business Name

THOM S THOMASSEN MD

Original Issue Date

01/09/1996

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/20/2023