THEODORE HARRY DIMOULIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

Title

DMD

First Name

THEODORE

Middle

HARRY

Last Name

DIMOULIS

Business Name

THEODORE HARRY DIMOULIS DMD

Original Issue Date

07/02/2015

Effective Date

06/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2024