REBECCA ANNE THIBAUDEAU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DDS

First Name

REBECCA

Middle

ANNE

Last Name

THIBAUDEAU

Business Name

REBECCA ANNE THIBAUDEAU DDS

Original Issue Date

07/08/2013

Effective Date

05/31/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2024