TIMOTHY CLARENCE ALTMAN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

CANCELLED

Business

First Name

TIMOTHY CLARENCE

Last Name

ALTMAN

Suffix

DDS

Business Name

TIMOTHY CLARENCE ALTMAN DDS

Original Issue Date

02/28/1986

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009