Timothy D Supan Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019023921

Status

Active

First issued

August 15, 1995

Expires

September 30, 2027

License holder

Timothy D Supan Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

09/23/2024

Other Illinois licenses under this name

• IL
  Timothy D Supan Dmd

  License 31*****63

  Licensed Dentist Controlled Substance (Dental)
  Active

  Gridley, IL

  Expires Sep 30, 2027

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