JENNIFER MARIE LOPEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001952

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

LOPEZ

Business Name

JENNIFER MARIE LOPEZ

Original Issue Date

06/10/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2017