ERIC JAY EISEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002052

License Status

ACTIVE

Business

First Name

ERIC

Middle

JAY

Last Name

EISEN

Suffix

DDS

Business Name

ERIC JAY EISEN DDS

Original Issue Date

08/28/2002

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

08/29/2024