THOMAS JAMES MOSS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

THOMAS JAMES

Last Name

MOSS

Business Name

THOMAS JAMES MOSS

Original Issue Date

09/05/1984

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024