THIKAMPHAA BERTRAND DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DDS

First Name

THIKAMPHAA

Last Name

BERTRAND

Business Name

THIKAMPHAA BERTRAND DDS

Original Issue Date

06/08/2015

Effective Date

05/19/2024

Expiration Date

09/30/2027

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2024