JASON CHANDLER PRIMAVERA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029141

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Middle

CHANDLER

Last Name

PRIMAVERA

Business Name

JASON CHANDLER PRIMAVERA DDS

Original Issue Date

07/17/2012

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018