JACK SAMUEL LITZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000266

License Status

NOT RENEWED

Business

First Name

JACK

Middle

SAMUEL

Last Name

LITZ

Suffix

DDS

Business Name

JACK SAMUEL LITZ DDS

Original Issue Date

03/02/1991

Effective Date

07/01/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018