JAY WESLEY CHRISMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DDS

First Name

JAY

Middle

WESLEY

Last Name

CHRISMAN

Business Name

JAY WESLEY CHRISMAN DDS

Original Issue Date

01/01/1998

Effective Date

12/09/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025