THADDEUS CASEY HAWKINS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

Title

DMD

First Name

THADDEUS

Middle

CASEY

Last Name

HAWKINS

Business Name

THADDEUS CASEY HAWKINS DMD

Original Issue Date

08/03/2019

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CUTLER

State

Zip

62238

County

PERRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024