BERNIE MONTANA H JON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

BERNIE MONTANA H

Last Name

JON

Suffix

DDS

Business Name

BERNIE MONTANA H JON DDS

Original Issue Date

02/20/1996

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/08/2024