DAVID SCOTT JARDENIL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000412

License Status

NOT RENEWED

Business

First Name

DAVID SCOTT

Last Name

JARDENIL

Suffix

DDS

Business Name

DAVID SCOTT JARDENIL DDS

Original Issue Date

05/18/1990

Effective Date

05/18/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/12/2005