TERRENCE JOSEPH NEEDHAM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

TERRENCE JOSEPH

Last Name

NEEDHAM

Business Name

TERRENCE JOSEPH NEEDHAM

Original Issue Date

08/17/1982

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024