JODIE K WARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024162

License Status

NOT RENEWED

Business

First Name

JODIE K

Last Name

WARD

Suffix

DDS

Business Name

JODIE K WARD DDS

Original Issue Date

06/18/1996

Effective Date

06/18/1996

Expiration Date

09/30/1998

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005