RICHARD WARREN JANSON DDS - Dentist License in Illinois | # 019012251

RICHARD WARREN JANSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012251

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

RICHARD

Middle

WARREN

Last Name

JANSON

Business Name

RICHARD WARREN JANSON DDS

Original Issue Date

07/25/1963

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022