JILLIAN NOELE GRAY DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001840

License Status

CANCELLED

Business

Title

DDS

First Name

JILLIAN

Middle

NOELE

Last Name

GRAY

Business Name

JILLIAN NOELE GRAY DDS

Original Issue Date

06/20/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

06/22/2012