TIMOTHY PATRICK BASHFORD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

PATRICK

Last Name

BASHFORD

Suffix

DDS

Business Name

TIMOTHY PATRICK BASHFORD DDS

Original Issue Date

08/07/1981

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024