DAVID T THOM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006060

License Status

ACTIVE

Business

Title

DPM

First Name

DAVID

Middle

Last Name

THOM

Prefix

Business Name

DAVID T THOM DPM

Original Issue Date

05/20/2024

Effective Date

12/03/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/03/2024