TIM MICHAEL JACKIMEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

TIM MICHAEL

Last Name

JACKIMEK

Business Name

TIM MICHAEL JACKIMEK

Original Issue Date

08/14/1986

Effective Date

09/23/2021

Expiration Date

09/30/2024

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025