THOMAS J BURRELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

BURRELL

Business Name

THOMAS J BURRELL

Original Issue Date

09/29/1983

Effective Date

09/20/2021

Expiration Date

09/30/2024

City

MATTESON

State

Zip

60443

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025