JANNA LEE MITSOS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DMD

First Name

JANNA

Middle

LEE

Last Name

MITSOS

Business Name

JANNA LEE MITSOS DMD

Original Issue Date

06/27/2017

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022