MISON LEE JON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000890

License Status

NOT RENEWED

Business

First Name

MISON LEE

Last Name

JON

Suffix

DMD

Business Name

MISON LEE JON DMD

Original Issue Date

08/29/1995

Effective Date

08/29/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005