ERIN E JAIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

Title

DMD

First Name

ERIN

Middle

Last Name

JAIN

Business Name

ERIN E JAIN DMD

Original Issue Date

12/17/2021

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/25/2024