CHRISTA M SOURIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

CHRISTA

Middle

Last Name

SOURIS

Suffix

DMD

Business Name

CHRISTA M SOURIS DMD

Original Issue Date

03/21/2005

Effective Date

08/31/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2024