TIMOTHY ERNST KABOT DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000195

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

ERNST

Last Name

KABOT

Suffix

DDS

Business Name

TIMOTHY ERNST KABOT DDS

Original Issue Date

01/12/1990

Effective Date

12/13/2021

Expiration Date

09/30/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/01/2024