JONATHAN ROBERT PATRICK DDS - Dentist License in Illinois | # 018001875

JONATHAN ROBERT PATRICK DDS

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001875

License Status

INACTIVE

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018