TIMOTHY VINCENT ERDLE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

VINCENT

Last Name

ERDLE

Business Name

TIMOTHY VINCENT ERDLE

Original Issue Date

02/28/2019

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024