JARED BENJAMIN SIEGEL DDS - Dentist License in Illinois | # 018002144

JARED BENJAMIN SIEGEL DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002144

License Status

EXPIRED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

11/28/2022