EMIL M VERBAN JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000578

License Status

ACTIVE

Business

First Name

EMIL

Middle

Last Name

VERBAN

Suffix

JR DDS

Business Name

EMIL M VERBAN JR DDS

Original Issue Date

02/18/2003

Effective Date

08/31/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

08/31/2024