ANNIE THOMAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110074

License Status

INACTIVE

Business

First Name

ANNIE

Last Name

THOMAS

Suffix

Business Name

ANNIE THOMAS MD

Original Issue Date

09/09/2003

Effective Date

09/09/2003

Expiration Date

07/31/2005

City

EAUCLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014