THOMAS K GAVIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

THOMAS K

Last Name

GAVIN

Business Name

THOMAS K GAVIN

Original Issue Date

09/05/1986

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009