DENNIS M MAHAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

DENNIS M

Last Name

MAHAN

Suffix

DMD

Business Name

DENNIS M MAHAN DMD

Original Issue Date

02/11/1992

Effective Date

02/11/1992

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005