JAY ADAM DEHART Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

JAY

Middle

ADAM

Last Name

DEHART

Business Name

JAY ADAM DEHART

Original Issue Date

06/29/2011

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024