MARC CONEL THEVENIN JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

Title

DDS

First Name

MARC

Middle

CONEL

Last Name

THEVENIN

Suffix

Business Name

MARC CONEL THEVENIN JR DDS

Original Issue Date

04/27/2016

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60503

County

KENDALL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/26/2024