THOMAS EDWARD SOUTHARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019492

License Status

NOT RENEWED

Business

First Name

THOMAS EDWARD

Last Name

SOUTHARD

Business Name

THOMAS EDWARD SOUTHARD

Original Issue Date

03/27/1985

Effective Date

06/26/2012

Expiration Date

09/30/2015

City

IOWA CITY

State

Zip

52242

County

IOWA

Ever Disciplined

LastModifiedDate

02/08/2016