ELLIS JAY NEIBURGER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

Title

DDS

First Name

ELLIS

Middle

JAY

Last Name

NEIBURGER

Business Name

ELLIS JAY NEIBURGER DDS

Original Issue Date

01/01/1998

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024