GUNJAN JAIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

GUNJAN

Last Name

JAIN

Business Name

GUNJAN JAIN

Original Issue Date

03/05/2008

Effective Date

12/11/2019

Expiration Date

01/31/2022

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022