THOMAS V POWELL - Dentist License in Illinois | # 021000372

THOMAS V POWELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000372

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

02/08/2016