THOMAS G COUSTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

THOMAS G

Last Name

COUSTON

Business Name

THOMAS G COUSTON

Original Issue Date

10/10/1983

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016