KRISTEN L THOMSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094069

License Status

INACTIVE

Business

Title

First Name

KRISTEN

Middle

Last Name

THOMSEN

Business Name

KRISTEN L THOMSEN MD

Original Issue Date

08/21/1996

Effective Date

08/21/1996

Expiration Date

07/31/1999

City

NEENAH

State

Zip

54957

Ever Disciplined

LastModifiedDate

05/17/2013

Case Number

2007008766

Action

Refuse To Renew

Discipline Start Date

04/23/2008

Discipline Reason

placed in refuse to renew status after being disciplined in the state of Wisconsin.