THOMAS HOWE BOETTCHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

THOMAS HOWE

Last Name

BOETTCHER

Suffix

DDS

Business Name

THOMAS HOWE BOETTCHER DDS

Original Issue Date

07/15/1981

Effective Date

07/15/1981

Expiration Date

09/30/1984

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005