JASON BO LAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

Title

DMD

First Name

JASON

Middle

Last Name

LAN

Business Name

JASON BO LAN DMD

Original Issue Date

06/29/2016

Effective Date

06/29/2016

Expiration Date

09/30/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018