CHRIS TOM THOMAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

CHRIS TOM

Last Name

THOMAS

Suffix

DDS

Business Name

CHRIS TOM THOMAS DDS

Original Issue Date

10/08/1997

Effective Date

08/28/2009

Expiration Date

09/30/2012

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/14/2012