THOMAS E OSBORNE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

THOMAS E

Last Name

OSBORNE

Business Name

THOMAS E OSBORNE

Original Issue Date

03/28/1983

Effective Date

03/28/1983

Expiration Date

09/30/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005