POONAM JAIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

POONAM

Last Name

JAIN

Suffix

DDS

Business Name

POONAM JAIN DDS

Original Issue Date

07/07/1999

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

12/09/2024