THOMAS E KISSNER Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

INOPERATIVE

Business

First Name

THOMAS E

Last Name

KISSNER

Business Name

THOMAS E KISSNER

Original Issue Date

09/22/1988

Effective Date

09/22/1988

Expiration Date

09/30/1998

City

SCHAUMBURG

State

Zip

60193

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005