THOMAS ALLEN MARQUARDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

THOMAS ALLEN

Last Name

MARQUARDT

Suffix

DDS

Business Name

THOMAS ALLEN MARQUARDT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005