THOMAS HOWE BOETTCHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

THOMAS HOWE

Last Name

BOETTCHER

Suffix

DDS

Business Name

THOMAS HOWE BOETTCHER DDS

Original Issue Date

03/09/1983

Effective Date

11/19/2015

Expiration Date

09/30/2018

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018