TUSHAR CHIMANBHAI THUMMAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DMD

First Name

TUSHAR

Middle

CHIMANBHAI

Last Name

THUMMAR

Business Name

TUSHAR CHIMANBHAI THUMMAR DMD

Original Issue Date

06/16/2023

Effective Date

05/19/2024

Expiration Date

09/30/2027

City

OAK CREEK

State

Zip

53154

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2024