TIMOTHY A THEISEN - Dentist License in Florida | # 019020619

TIMOTHY A THEISEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020619

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY A

Last Name

THEISEN

Business Name

TIMOTHY A THEISEN

Original Issue Date

07/18/1987

Effective Date

06/15/2015

Expiration Date

09/30/2018

State

FL

Ever Disciplined

N

LastModifiedDate

10/31/2018