THOMAS ANDRE ENDICOTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025785

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ANDRE

Last Name

ENDICOTT

Business Name

THOMAS ANDRE ENDICOTT

Original Issue Date

03/20/2002

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

HILLSDALE

State

Zip

49242

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2012

Case Number

2005006060

Action

Suspension

Discipline Start Date

06/01/2010

Discipline Reason

for fraud in procuring his Illinois Controlled Substance license.