TIMOTHY B DOTSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000689

License Status

NOT RENEWED

Business

First Name

TIMOTHY B

Last Name

DOTSON

Business Name

TIMOTHY B DOTSON

Original Issue Date

11/03/2006

Effective Date

08/06/2012

Expiration Date

09/30/2015

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

02/08/2016