TIMOTHY DAVID THEOBALD DMD - Dentist License in Illinois | # 019030011

TIMOTHY DAVID THEOBALD DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030011

License Status

ACTIVE

Business

N

Title

DMD

First Name

TIMOTHY

Middle

DAVID

Last Name

THEOBALD

Business Name

TIMOTHY DAVID THEOBALD DMD

Original Issue Date

08/06/2014

Effective Date

09/25/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2024