SAGE JACKLYN VANANTWERP DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031793

License Status

ACTIVE

Business

First Name

SAGE

Middle

JACKLYN

Last Name

VANANTWERP

Suffix

DMD

Business Name

SAGE JACKLYN VANANTWERP DMD

Original Issue Date

07/17/2018

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

09/15/2024