THOMAS V POWELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000372

License Status

NOT RENEWED

Business

First Name

THOMAS V

Last Name

POWELL

Business Name

THOMAS V POWELL

Original Issue Date

11/21/1962

Effective Date

07/13/2012

Expiration Date

09/30/2015

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

02/08/2016