THOMAS L WALTEMATE DDS 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 L

Last Name

WALTEMATE

Suffix

DDS

Business Name

THOMAS L WALTEMATE DDS

Original Issue Date

01/01/1998

Effective Date

11/23/2021

Expiration Date

09/30/2024

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025