DUDLEY THOMAS PORTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

DUDLEY THOMAS

Last Name

PORTER

Business Name

DUDLEY THOMAS PORTER

Original Issue Date

12/21/1983

Effective Date

12/21/1983

Expiration Date

09/30/1986

City

VANDALIA

State

Zip

62471

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

1985000639

Action

Suspension

Discipline Start Date

08/04/1986