JONATHAN ELIOT ADAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

ELIOT

Last Name

ADAM

Suffix

DDS

Business Name

JONATHAN ELIOT ADAM DDS

Original Issue Date

05/05/2005

Effective Date

05/05/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006