JAIME ANN PETTENON DMD - Dentist License in Illinois | # 137000998

JAIME ANN PETTENON DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000998

License Status

ACTIVE

Business

N

Title

DMD

First Name

JAIME

Middle

ANN

Last Name

PETTENON

Business Name

JAIME ANN PETTENON DMD

Original Issue Date

12/11/2017

Effective Date

07/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

07/02/2024