JANE P MAA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

JANE

Middle

Last Name

MAA

Business Name

JANE P MAA

Original Issue Date

07/21/2006

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

GLENCOE

State

Zip

60022

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024