Theron Cornelius Waisath Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****79

Status

Expired (Not Renewed)

First issued

March 4, 2009

Expired

September 30, 2012

License holder

Theron Cornelius Waisath

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

06/04/2009

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 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*****78 · Theron Cornelius Waisath

  Licensed Dentist Controlled Substance (Dental)
  Active

  Champaign, IL

  Expires Sep 30, 2027

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