DENNIS M MAHAN DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000614

License Status

CANCELLED

Business

First Name

DENNIS M

Last Name

MAHAN

Suffix

DMD

Business Name

DENNIS M MAHAN DMD

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

09/30/2006

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

07/24/2006