JILL ELLEN DOAN DDS MS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ELLEN

Last Name

DOAN

Suffix

DDS MS

Business Name

JILL ELLEN DOAN DDS MS

Original Issue Date

06/18/2007

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012