DAVID T THOM DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001116

License Status

EXPIRED

Business

Title

DPM

First Name

DAVID

Middle

Last Name

THOM

Prefix

Business Name

DAVID T THOM DPM

Original Issue Date

06/03/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2025