JEFFREY TODD HAWKINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000931

License Status

NOT RENEWED

Business

First Name

JEFFREY TODD

Last Name

HAWKINS

Suffix

DDS

Business Name

JEFFREY TODD HAWKINS DDS

Original Issue Date

06/19/1996

Effective Date

06/19/1996

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005