THOMAS ALAN FURLONG Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001073

License Status

INACTIVE

Business

First Name

THOMAS

Middle

ALAN

Last Name

FURLONG

Business Name

THOMAS ALAN FURLONG

Original Issue Date

07/27/1998

Effective Date

07/27/1998

Expiration Date

03/01/2006

City

PILOT MOUNTAIN

State

Zip

27041

Ever Disciplined

LastModifiedDate

10/09/2006