THOMAS M VINCENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000505

License Status

NOT RENEWED

Business

First Name

THOMAS M

Last Name

VINCENT

Business Name

THOMAS M VINCENT

Original Issue Date

09/21/1992

Effective Date

09/21/1992

Expiration Date

03/01/1994

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/26/2006