THOMAS ALLEN DANIELS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016632

License Status

NOT RENEWED

Business

Title

DDS

First Name

THOMAS

Middle

ALLEN

Last Name

DANIELS

Business Name

THOMAS ALLEN DANIELS DDS

Original Issue Date

04/13/1979

Effective Date

07/13/2015

Expiration Date

09/30/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/31/2018