JOHN E NATHAN DDS - Dentist License in Illinois | # 137000480

JOHN E NATHAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000480

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

E

Last Name

NATHAN

Suffix

DDS

Business Name

JOHN E NATHAN DDS

Original Issue Date

10/20/1999

Effective Date

09/05/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

05/09/2022