LATOI RAPHAEL THOMAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

LATOI

Middle

RAPHAEL

Last Name

THOMAS

Business Name

LATOI RAPHAEL THOMAS

Original Issue Date

09/22/2009

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024