GLEN DAVID THOMPSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

GLEN

Middle

DAVID

Last Name

THOMPSON

Suffix

DMD

Business Name

GLEN DAVID THOMPSON DMD

Original Issue Date

01/01/1998

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

TREMONT

State

Zip

61568

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024