TIMOTHY ABRAHAM KITLEY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000956

License Status

ACTIVE

Business

Title

DMD

First Name

TIMOTHY

Middle

ABRAHAM

Last Name

KITLEY

Business Name

TIMOTHY ABRAHAM KITLEY DMD

Original Issue Date

06/23/2016

Effective Date

05/31/2024

Expiration Date

09/30/2027

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/31/2024