TIMOTHY GALE HASTINGS DDS, LTD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

TIMOTHY GALE

Last Name

HASTINGS DDS, LTD

Business Name

TIMOTHY GALE HASTINGS DDS, LTD

Original Issue Date

04/22/1986

Effective Date

04/22/1986

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005