THOMAS V POWELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

THOMAS V

Last Name

POWELL

Business Name

THOMAS V POWELL

Original Issue Date

01/01/1998

Effective Date

07/25/2012

Expiration Date

09/30/2015

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

02/08/2016