SUSAN TINA THOMAS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

Title

DDS

First Name

SUSAN

Middle

TINA

Last Name

THOMAS

Business Name

SUSAN TINA THOMAS DDS

Original Issue Date

06/07/2016

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

PALOS HILLS

State

Zip

60465

County

VIRGINIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024