DAN G DANIELS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

DAN G

Last Name

DANIELS

Business Name

DAN G DANIELS

Original Issue Date

09/30/1986

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022