TIMOTHY J DRISCOLL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

TIMOTHY J

Last Name

DRISCOLL

Business Name

TIMOTHY J DRISCOLL

Original Issue Date

08/14/1986

Effective Date

07/18/2007

Expiration Date

09/30/2009

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009