JESSE MICHAEL FA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001704

License Status

EXPIRED

Business

First Name

JESSE

Middle

MICHAEL

Last Name

Suffix

DDS

Business Name

JESSE MICHAEL FA DDS

Original Issue Date

08/22/2008

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/08/2010