DOROTHY A THOMSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

DOROTHY A

Last Name

THOMSEN

Business Name

DOROTHY A THOMSEN

Original Issue Date

09/11/1989

Effective Date

09/11/1989

Expiration Date

09/30/1994

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005