JAIME ANN PETTENON DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001951

License Status

EXPIRED

Business

Title

DMD

First Name

JAIME

Middle

ANN

Last Name

PETTENON

Business Name

JAIME ANN PETTENON DMD

Original Issue Date

06/08/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018