JOHN WILLIAM THOUSAND III Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

JOHN WILLIAM

Last Name

THOUSAND III

Business Name

JOHN WILLIAM THOUSAND III

Original Issue Date

11/17/1982

Effective Date

11/17/1982

Expiration Date

09/30/1994

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005