TIMOTHY P HAAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

TIMOTHY P

Last Name

HAAS

Suffix

DDS

Business Name

TIMOTHY P HAAS DDS

Original Issue Date

01/18/1991

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

PUTNAM

State

Zip

61560

County

PUTNAM

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022