TOM M ROSS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

TOM M

Last Name

ROSS

Business Name

TOM M ROSS

Original Issue Date

08/14/1986

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

09/03/2024