JEREMY JIAN MAO DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000071

License Status

EXPIRED

Business

First Name

JEREMY

Middle

JIAN

Last Name

MAO

Suffix

DDS

Business Name

JEREMY JIAN MAO DDS

Original Issue Date

02/28/2000

Effective Date

02/28/2000

Expiration Date

11/14/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005