MISON LEE JON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024173

License Status

NOT RENEWED

Business

First Name

MISON LEE

Last Name

JON

Suffix

DMD

Business Name

MISON LEE JON DMD

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005