THOMAS JOSEPH FEDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

THOMAS JOSEPH

Last Name

FEDER

Suffix

DDS

Business Name

THOMAS JOSEPH FEDER DDS

Original Issue Date

01/01/1998

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022