JASON CHANDLER PRIMAVERA DDS - Dentist License in Illinois | # 021002689

JASON CHANDLER PRIMAVERA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002689

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

JASON

Middle

CHANDLER

Last Name

PRIMAVERA

Business Name

JASON CHANDLER PRIMAVERA DDS

Original Issue Date

08/11/2015

Effective Date

08/11/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

ORAL AND MAXILLOFACIAL SURGERY

Ever Disciplined

N

LastModifiedDate

10/31/2018