JERRY W DILLON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

DILLON

Suffix

DDS

Business Name

JERRY W DILLON DDS

Original Issue Date

10/17/2003

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009