TIMOTHY DAVID CONWAY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

TIMOTHY DAVID

Last Name

CONWAY

Suffix

DDS

Business Name

TIMOTHY DAVID CONWAY DDS

Original Issue Date

01/01/1998

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018