THOMAS WILLIAM CARLSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025989

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

WILLIAM

Last Name

CARLSON

Business Name

THOMAS WILLIAM CARLSON

Original Issue Date

09/30/2002

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018