THOMAS C SIEWERT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

First Name

THOMAS C

Last Name

SIEWERT

Business Name

THOMAS C SIEWERT

Original Issue Date

10/08/2021

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024