THOMAS W FARLEY 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 W

Last Name

FARLEY

Business Name

THOMAS W FARLEY

Original Issue Date

08/10/1987

Effective Date

08/10/1987

Expiration Date

09/30/1988

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005