ROBERT M THIES Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000279

License Status

EXPIRED

Business

First Name

ROBERT M

Last Name

THIES

Business Name

ROBERT M THIES

Original Issue Date

07/11/1988

Effective Date

07/11/1988

Expiration Date

07/08/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005