THOMAS J LARKIN III DMD 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

Middle

Last Name

LARKIN

Suffix

III DMD

Business Name

THOMAS J LARKIN III DMD

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

09/30/2006

City

COBDEN

State

Zip

62920

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006