JEFFREY CARSON WHITESIDE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028074

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

CARSON

Last Name

WHITESIDE

Business Name

JEFFREY CARSON WHITESIDE

Original Issue Date

07/10/2009

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2024