TIMOTHY JOHN CUSTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

TIMOTHY JOHN

Last Name

CUSTER

Business Name

TIMOTHY JOHN CUSTER

Original Issue Date

08/23/1983

Effective Date

08/23/1983

Expiration Date

09/30/1994

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005