DANA A FORT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

DANA

Middle

Last Name

FORT

Suffix

DDS

Business Name

DANA A FORT DDS

Original Issue Date

08/16/2007

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/29/2024