JOHN W ATHOS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

INACTIVE

Business

First Name

JOHN W

Last Name

ATHOS

Suffix

DDS

Business Name

JOHN W ATHOS DDS

Original Issue Date

09/17/1996

Effective Date

04/10/2019

Expiration Date

09/30/2021

City

TINLEY PARK

State

Zip

60477

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2019