ROLAND FREDERICK THOMAS DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

INOPERATIVE

Business

First Name

ROLAND FREDERICK

Last Name

THOMAS

Suffix

DDS

Business Name

ROLAND FREDERICK THOMAS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60619

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005