TIMOTHY VINCENT ERDLE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001029

License Status

ACTIVE

Business

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

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/01/2024