THOMAS EDMUND DAVEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

THOMAS EDMUND

Last Name

DAVEY

Business Name

THOMAS EDMUND DAVEY

Original Issue Date

01/01/1998

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

MT ZION

State

Zip

62549

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012