THEODORE ALLEN TIMOTHY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ALLEN

Last Name

TIMOTHY

Business Name

THEODORE ALLEN TIMOTHY MD

Original Issue Date

03/18/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023