JESSICA FORTUNEE HAYATE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029758

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

FORTUNEE

Last Name

HAYATE

Suffix

DMD

Business Name

JESSICA FORTUNEE HAYATE DMD

Original Issue Date

04/29/2014

Effective Date

04/29/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016