JILLIAN M HARRISON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

Title

DMD

First Name

JILLIAN

Middle

Last Name

HARRISON

Business Name

JILLIAN M HARRISON DMD

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016