DONNACE ANGELICIA JATHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034079

License Status

ACTIVE

Business

First Name

DONNACE

Middle

ANGELICIA

Last Name

JATHAN

Business Name

DONNACE ANGELICIA JATHAN

Original Issue Date

02/02/2023

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2024