TIMOTHY CRAIG LONERGAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

TIMOTHY CRAIG

Last Name

LONERGAN

Business Name

TIMOTHY CRAIG LONERGAN

Original Issue Date

10/23/1984

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

CHATHAM

State

Zip

62629

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2024