THOMAS J DELACEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

DELACEY

Business Name

THOMAS J DELACEY

Original Issue Date

09/03/1986

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009