JONATHAN DERELL THOMPSON - Dentist License in Illinois | # 019034928

JONATHAN DERELL THOMPSON

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034928

License Status

ACTIVE

Business

N

First Name

JONATHAN

Middle

DERELL

Last Name

THOMPSON

Business Name

JONATHAN DERELL THOMPSON

Original Issue Date

03/01/2024

Effective Date

06/28/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2026