DAN CARL DAVIDSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

DAN CARL

Last Name

DAVIDSEN

Business Name

DAN CARL DAVIDSEN

Original Issue Date

09/12/1985

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2024