IMANI JACQUELINE BEHRENS DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002218

License Status

EXPIRED

Business

Title

DMD

First Name

IMANI

Middle

JACQUELINE

Last Name

BEHRENS

Business Name

IMANI JACQUELINE BEHRENS DMD

Original Issue Date

07/06/2022

Effective Date

07/06/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

01/08/2025