JOHN A LOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

JOHN A

Last Name

LOS

Business Name

JOHN A LOS

Original Issue Date

08/02/1982

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2024