EMIL M VERBAN JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

EMIL

Middle

Last Name

VERBAN

Suffix

JR DDS

Business Name

EMIL M VERBAN JR DDS

Original Issue Date

01/01/1998

Effective Date

08/31/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/31/2024