LYDIA JAEL DEJONGE DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002145

License Status

EXPIRED

Business

Title

DDS

First Name

LYDIA

Middle

JAEL

Last Name

DEJONGE

Business Name

LYDIA JAEL DEJONGE DDS

Original Issue Date

06/05/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

11/28/2022