THOMAS A CLINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

CLINE

Suffix

DDS

Business Name

THOMAS A CLINE DDS

Original Issue Date

01/01/1998

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

POLO

State

Zip

61064

County

OGLE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016