EBUN SUSAN OLA-JOHN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DDS

First Name

EBUN

Middle

SUSAN

Last Name

OLA-JOHN

Business Name

EBUN SUSAN OLA-JOHN DDS

Original Issue Date

08/14/2008

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024