THOMAS J BORMANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

BORMANN

Suffix

DDS

Business Name

THOMAS J BORMANN DDS

Original Issue Date

04/22/1994

Effective Date

04/22/1994

Expiration Date

09/30/1994

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005