TIMOTHY WALTER KAUFMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

TIMOTHY

Middle

WALTER

Last Name

KAUFMAN

Business Name

TIMOTHY WALTER KAUFMAN DDS

Original Issue Date

06/05/2013

Effective Date

12/09/2014

Expiration Date

09/30/2015

City

SHEBOYGAN

State

Zip

53083

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016