Theron Cornelius Waisath Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

021002310

Status

Active

First issued

July 23, 2009

Expires

September 30, 2027

License holder

Theron Cornelius Waisath

Entity type

Individual

Classifications

• Licensed Specialist in Dentistry (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 019027879 · Theron Cornelius Waisath

  Licensed Dentist (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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