TIMOTHY A THOMPSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000550

License Status

NOT RENEWED

Business

First Name

TIMOTHY A

Last Name

THOMPSON

Suffix

DDS

Business Name

TIMOTHY A THOMPSON DDS

Original Issue Date

06/18/1991

Effective Date

06/18/1991

Expiration Date

06/30/1992

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005