THOMAS JOHN HARTOG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

THOMAS JOHN

Last Name

HARTOG

Business Name

THOMAS JOHN HARTOG

Original Issue Date

09/29/1982

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025