DAVID SCOTT JARDENIL DDS - Dentist License in Illinois | # 018000412

DAVID SCOTT JARDENIL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000412

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

10/12/2005