Theron Cornelius Waisath Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019027879

Status

Active

First issued

March 4, 2009

Expires

September 30, 2027

License holder

Theron Cornelius Waisath

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

05/24/2024

Other Illinois licenses under this name

• IL
  Theron Cornelius Waisath Dmd

  License 021002310 · Theron Cornelius Waisath

  Licensed Specialist in Dentistry (Dental)
  Active

  Champaign, IL

  Expires Sep 30, 2027
• IL
  Theron Cornelius Waisath Dmd

  License 137000758 · Theron Cornelius Waisath

  Dental Sedation Permit
  Active

  Champaign, IL

  Expires Sep 30, 2027
• IL
  Theron Cornelius Waisath Dmd

  License 31*****79 · Theron Cornelius Waisath

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Mattoon, IL

  Expired Sep 30, 2012
• IL
  Theron Cornelius Waisath Dmd

  License 31*****78 · Theron Cornelius Waisath

  Licensed Dentist Controlled Substance (Dental)
  Active

  Champaign, IL

  Expires Sep 30, 2027

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