THOMAS RAY BOYD JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

THOMAS RAY

Last Name

BOYD JR

Business Name

THOMAS RAY BOYD JR

Original Issue Date

10/18/1984

Effective Date

02/25/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022