JAN S OLIVIER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

JAN S

Last Name

OLIVIER

Business Name

JAN S OLIVIER

Original Issue Date

03/25/1988

Effective Date

03/25/1988

Expiration Date

09/30/1990

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005