TIMOTHY LARS STRAKA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

TIMOTHY LARS

Last Name

STRAKA

Business Name

TIMOTHY LARS STRAKA

Original Issue Date

10/06/1982

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024