TIMOTHY VINCENT ERDLE - Dentist License in Illinois | # 137001029

TIMOTHY VINCENT ERDLE

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001029

License Status

ACTIVE

Business

N

First Name

TIMOTHY

Middle

VINCENT

Last Name

ERDLE

Business Name

TIMOTHY VINCENT ERDLE

Original Issue Date

06/21/2019

Effective Date

10/01/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

10/01/2024