JACK C LI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

JACK C

Last Name

Suffix

DDS

Business Name

JACK C LI DDS

Original Issue Date

01/01/1998

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025