THOMAS S DAVANT - Dentist License in Illinois | # 018000254

THOMAS S DAVANT

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000254

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

S

Last Name

DAVANT

Suffix

IV

Business Name

THOMAS S DAVANT

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

06/24/1990

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005