JILL RANDALL DANAHER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

JILL

Middle

RANDALL

Last Name

DANAHER

Business Name

JILL RANDALL DANAHER

Original Issue Date

05/25/2012

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

LAKE FOREST

State

Zip

60045

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024