THOMAS DWIGHT WELLS D D S Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

THOMAS DWIGHT

Last Name

WELLS D D S

Business Name

THOMAS DWIGHT WELLS D D S

Original Issue Date

01/01/1998

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012