JINGYUAN FAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002662

License Status

ACTIVE

Business

Title

DDS

First Name

JINGYUAN

Last Name

FAN

Business Name

JINGYUAN FAN DDS

Original Issue Date

07/02/2015

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

06/05/2024