JONATHAN ROBERT PATRICK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001875

License Status

INACTIVE

Business

Title

DDS

First Name

JONATHAN

Middle

ROBERT

Last Name

PATRICK

Business Name

JONATHAN ROBERT PATRICK DDS

Original Issue Date

06/13/2013

Effective Date

06/13/2013

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018