REBECCA GRACE THIMOTHY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

Title

DMD

First Name

REBECCA

Middle

GRACE

Last Name

THIMOTHY

Business Name

REBECCA GRACE THIMOTHY DMD

Original Issue Date

12/19/2017

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022