THOMAS J VANVOOREN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

VANVOOREN

Suffix

DMD

Business Name

THOMAS J VANVOOREN DMD

Original Issue Date

01/01/1998

Effective Date

06/30/2015

Expiration Date

09/30/2018

City

ATKINSON

State

Zip

61235

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018