KEVIN JAMES THORNSBERRY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

KEVIN JAMES

Last Name

THORNSBERRY

Suffix

DDS

Business Name

KEVIN JAMES THORNSBERRY DDS

Original Issue Date

01/01/1998

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022