JEFFREY GEORGE DRAKE DMD - Dentist License in Illinois | # 018002108

JEFFREY GEORGE DRAKE DMD

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002108

License Status

EXPIRED

Business

N

Title

DMD

First Name

JEFFREY

Middle

GEORGE

Last Name

DRAKE

Business Name

JEFFREY GEORGE DRAKE DMD

Original Issue Date

06/14/2019

Effective Date

07/01/2019

Expiration Date

05/10/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022