JASON T DIFANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027928

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Middle

Last Name

DIFANI

Business Name

JASON T DIFANI DDS

Original Issue Date

05/13/2009

Effective Date

07/17/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016