JESSE J FALK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

Last Name

FALK

Suffix

DMD

Business Name

JESSE J FALK DMD

Original Issue Date

06/07/2011

Effective Date

06/07/2011

Expiration Date

09/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012