THOMAS NORMAN MCCULLOUGH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

THOMAS NORMAN

Last Name

MCCULLOUGH

Business Name

THOMAS NORMAN MCCULLOUGH

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/04/2009