JASON PAUL LIPTON DDS - Dentist License in Illinois | # 018001023

JASON PAUL LIPTON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001023

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

PAUL

Last Name

LIPTON

Suffix

DDS

Business Name

JASON PAUL LIPTON DDS

Original Issue Date

06/18/1997

Effective Date

06/18/1997

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005