DAVID MITCHELL THIELEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034492

License Status

ACTIVE

Business

Title

DMD

First Name

DAVID

Middle

MITCHELL

Last Name

THIELEN

Business Name

DAVID MITCHELL THIELEN DMD

Original Issue Date

07/05/2023

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2024