SOUMYA ANN THOMAS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

Title

DDS

First Name

SOUMYA

Middle

ANN

Last Name

THOMAS

Business Name

SOUMYA ANN THOMAS DDS

Original Issue Date

07/27/2023

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60642

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024