JARED BENJAMIN SIEGEL DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002144

License Status

EXPIRED

Business

Title

DDS

First Name

JARED

Middle

BENJAMIN

Last Name

SIEGEL

Business Name

JARED BENJAMIN SIEGEL DDS

Original Issue Date

06/05/2020

Effective Date

07/01/2020

Expiration Date

07/01/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

11/28/2022