JOHN FREDERICK JIMENEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001212

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

FREDERICK

Last Name

JIMENEZ

Suffix

DDS

Business Name

JOHN FREDERICK JIMENEZ DDS

Original Issue Date

06/05/2000

Effective Date

06/05/2000

Expiration Date

06/30/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005