JILL ILANA YOUNG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

Title

DMD

First Name

JILL

Middle

ILANA

Last Name

YOUNG

Business Name

JILL ILANA YOUNG DMD

Original Issue Date

11/10/2014

Effective Date

11/10/2014

Expiration Date

09/30/2015

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016