JAN M SCHULTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011126

License Status

NOT RENEWED

Business

First Name

JAN

Middle

Last Name

SCHULTZ

Business Name

JAN M SCHULTZ

Original Issue Date

08/11/2004

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016