DAN VINCENT FOLLMER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

DAN VINCENT

Last Name

FOLLMER

Business Name

DAN VINCENT FOLLMER

Original Issue Date

01/01/1998

Effective Date

06/28/2018

Expiration Date

01/31/2022

City

WAUCONDA

State

Zip

60084

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022