FRANK TOM THOMALLA III Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019762

License Status

INACTIVE

Business

First Name

FRANK TOM

Last Name

THOMALLA III

Business Name

FRANK TOM THOMALLA III

Original Issue Date

08/09/1985

Effective Date

08/09/1985

Expiration Date

09/30/2004

City

LOUISIANA

State

Zip

63353

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005