THOMAS PAUL FORD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016236

License Status

NOT RENEWED

Business

First Name

THOMAS PAUL

Last Name

FORD

Suffix

DMD

Business Name

THOMAS PAUL FORD DMD

Original Issue Date

02/16/1978

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/09/2022