THOMAS EDWARD ALLAWAY DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

CANCELLED

Business

First Name

THOMAS EDWARD

Last Name

ALLAWAY

Suffix

DDS

Business Name

THOMAS EDWARD ALLAWAY DDS

Original Issue Date

10/09/1990

Effective Date

10/09/1990

Expiration Date

09/30/1992

City

ST CHARLES

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005