THOMAS L WALTEMATE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014702

License Status

ACTIVE

Business

First Name

THOMAS L

Last Name

WALTEMATE

Suffix

DDS

Business Name

THOMAS L WALTEMATE DDS

Original Issue Date

07/11/1973

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/16/2024