THOMAS JOHN RAIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DDS

First Name

THOMAS JOHN

Last Name

RAIA

Business Name

THOMAS JOHN RAIA DDS

Original Issue Date

09/12/1983

Effective Date

09/12/1983

Expiration Date

09/30/1992

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005