ROGER LEE TOMLIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

ROGER LEE

Last Name

TOMLIN

Suffix

DMD

Business Name

ROGER LEE TOMLIN DMD

Original Issue Date

01/01/1998

Effective Date

08/24/2012

Expiration Date

09/30/2015

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016