THOMAS E STANDLEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

THOMAS E

Last Name

STANDLEY

Suffix

DMD

Business Name

THOMAS E STANDLEY DMD

Original Issue Date

09/11/1995

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024