JERRY THELEN HEWITT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014579

License Status

NOT RENEWED

Business

First Name

JERRY THELEN

Last Name

HEWITT

Suffix

DDS

Business Name

JERRY THELEN HEWITT DDS

Original Issue Date

07/11/1973

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010