THOMAS KENT MARXER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

THOMAS KENT

Last Name

MARXER

Suffix

DDS

Business Name

THOMAS KENT MARXER DDS

Original Issue Date

07/11/1995

Effective Date

09/23/2008

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009