JASON BO LAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030795

License Status

NOT RENEWED

Business

Title

DMD

First Name

JASON

Middle

Last Name

LAN

Business Name

JASON BO LAN DMD

Original Issue Date

06/29/2016

Effective Date

06/29/2016

Expiration Date

09/30/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018