THOMAS D HALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

THOMAS D

Last Name

HALL

Business Name

THOMAS D HALL

Original Issue Date

09/07/1990

Effective Date

09/07/1990

Expiration Date

09/30/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005