DENNIS M MAHAN DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

CANCELLED

Business

First Name

DENNIS M

Last Name

MAHAN

Suffix

DMD

Business Name

DENNIS M MAHAN DMD

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

09/30/2006

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006