NATALIE POWELL THOMAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009201

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

POWELL

Last Name

THOMAS

Business Name

NATALIE POWELL THOMAS

Original Issue Date

07/09/1998

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/25/2016