ROBERT M THIES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

ROBERT M

Last Name

THIES

Business Name

ROBERT M THIES

Original Issue Date

10/24/1988

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024