J DOUGLAS THRAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

J DOUGLAS

Last Name

THRAN

Business Name

J DOUGLAS THRAN

Original Issue Date

07/17/1984

Effective Date

07/17/1984

Expiration Date

09/30/1986

City

MUNDELEIN

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005