JASON SETLOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

JASON

Last Name

SETLOCK

Business Name

JASON SETLOCK

Original Issue Date

02/20/2002

Effective Date

02/20/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005