THOMAS D HALL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

THOMAS D

Last Name

HALL

Business Name

THOMAS D HALL

Original Issue Date

06/29/1989

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/12/2024