JASON M YAMADA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

CANCELLED

Business

First Name

JASON M

Last Name

YAMADA

Suffix

DDS

Business Name

JASON M YAMADA DDS

Original Issue Date

06/20/1991

Effective Date

06/20/1991

Expiration Date

09/30/1992

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005