WAYNE THOMAS NEAL DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008628

License Status

NOT RENEWED

Business

First Name

WAYNE THOMAS

Last Name

NEAL

Suffix

DDS MD

Business Name

WAYNE THOMAS NEAL DDS MD

Original Issue Date

05/24/1944

Effective Date

05/24/1944

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/12/2005