TIMOTHY PATRICK BASHFORD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017695

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

PATRICK

Last Name

BASHFORD

Suffix

DDS

Business Name

TIMOTHY PATRICK BASHFORD DDS

Original Issue Date

07/14/1981

Effective Date

09/06/2024

Expiration Date

09/30/2027

State

Ever Disciplined

LastModifiedDate

04/09/2025

Case Number

2011002408

Action

Suspension

Discipline Start Date

06/03/2011

Discipline End Date

04/26/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/27/2012.