JEFFREY A HERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000929

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

HERMAN

Business Name

JEFFREY A HERMAN

Original Issue Date

06/10/1996

Effective Date

06/10/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005