THOMAS JAMES SKIBA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

INACTIVE

Business

First Name

THOMAS JAMES

Last Name

SKIBA

Suffix

DDS

Business Name

THOMAS JAMES SKIBA DDS

Original Issue Date

01/01/1998

Effective Date

09/05/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2021