ROGER LEE TOMLIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015253

License Status

NOT RENEWED

Business

First Name

ROGER LEE

Last Name

TOMLIN

Suffix

DMD

Business Name

ROGER LEE TOMLIN DMD

Original Issue Date

07/10/1975

Effective Date

08/24/2012

Expiration Date

09/30/2015

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/08/2016