THOMAS LUTHER WILLIAMS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

INOPERATIVE

Business

First Name

THOMAS

Middle

LUTHER

Last Name

WILLIAMS

Business Name

THOMAS LUTHER WILLIAMS

Original Issue Date

04/07/2010

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

01/03/2022