DONALD C TIGCHELAAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

TIGCHELAAR

Suffix

DDS

Business Name

DONALD C TIGCHELAAR DDS

Original Issue Date

10/24/2007

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012