JASON P THEOBALD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027355

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

THEOBALD

Suffix

DDS

Business Name

JASON P THEOBALD DDS

Original Issue Date

05/17/2007

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

05/01/2024