THOMAS DONALD WESLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

THOMAS DONALD

Last Name

WESLEY

Suffix

DDS

Business Name

THOMAS DONALD WESLEY DDS

Original Issue Date

01/01/1998

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012