THEODORE GARY LOIBEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

THEODORE GARY

Last Name

LOIBEN

Business Name

THEODORE GARY LOIBEN

Original Issue Date

11/08/1984

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024