JILL ELLEN DOAN DDS MS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000704

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ELLEN

Last Name

DOAN

Suffix

DDS MS

Business Name

JILL ELLEN DOAN DDS MS

Original Issue Date

08/08/2007

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

02/08/2016