THOMAS BLAIR FRAZIER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012477

License Status

INACTIVE

Business

First Name

THOMAS BLAIR

Last Name

FRAZIER

Suffix

DDS

Business Name

THOMAS BLAIR FRAZIER DDS

Original Issue Date

07/14/1964

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/24/2006