THEODORE ALLEN TIMOTHY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156060

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ALLEN

Last Name

TIMOTHY

Business Name

THEODORE ALLEN TIMOTHY MD

Original Issue Date

03/16/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023