ATHENA J TOSIOU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

ATHENA

Middle

Last Name

TOSIOU

Suffix

DDS

Business Name

ATHENA J TOSIOU DDS

Original Issue Date

11/16/2004

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024