TIMOTHY PAUL MININGER II Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

PAUL

Last Name

MININGER II

Business Name

TIMOTHY PAUL MININGER II

Original Issue Date

07/27/2009

Effective Date

07/27/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012