JILL ELLEN DOAN DDS MS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ELLEN

Last Name

DOAN

Suffix

DDS MS

Business Name

JILL ELLEN DOAN DDS MS

Original Issue Date

09/27/2007

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016