TIMOTHY D KIMES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

KIMES

Business Name

TIMOTHY D KIMES

Original Issue Date

05/30/2017

Effective Date

07/19/2024

Expiration Date

09/30/2027

City

WAUCONDA

State

Zip

60084

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2024