JANE JIAN CHEN DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

INOPERATIVE

Business

First Name

JANE

Middle

JIAN

Last Name

CHEN

Suffix

DDS

Business Name

JANE JIAN CHEN DDS

Original Issue Date

02/14/2000

Effective Date

02/14/2000

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005