THOMAS A DANIELS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

THOMAS A

Last Name

DANIELS

Business Name

THOMAS A DANIELS

Original Issue Date

08/24/1988

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

GENESEO

State

Zip

61254

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024