DANA A FORT DDS - Dentist License in Illinois | # 019027498

DANA A FORT DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027498

License Status

ACTIVE

Business

N

First Name

DANA

Middle

A

Last Name

FORT

Suffix

DDS

Business Name

DANA A FORT DDS

Original Issue Date

08/16/2007

Effective Date

09/29/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/29/2024