THOMAS GEORGE MANOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

THOMAS GEORGE

Last Name

MANOS

Business Name

THOMAS GEORGE MANOS

Original Issue Date

07/15/1986

Effective Date

07/15/1986

Expiration Date

09/30/2000

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005