JON A DALLMAN DDS 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

JON A

Last Name

DALLMAN

Suffix

DDS

Business Name

JON A DALLMAN DDS

Original Issue Date

03/22/1994

Effective Date

03/22/1994

Expiration Date

09/30/1996

City

GLENWOOD

State

Zip

60425

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005