REGGIE M THURSTON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

REGGIE M

Last Name

THURSTON

Business Name

REGGIE M THURSTON

Original Issue Date

02/20/1996

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024