THOMAS GEORGE MANOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

THOMAS GEORGE

Last Name

MANOS

Business Name

THOMAS GEORGE MANOS

Original Issue Date

07/15/1992

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016