TODD H OMORI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

TODD H

Last Name

OMORI

Business Name

TODD H OMORI

Original Issue Date

08/30/1985

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024