JASON D STROMSTAD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010556

License Status

INACTIVE

Business

First Name

JASON

Middle

Last Name

STROMSTAD

Business Name

JASON D STROMSTAD

Original Issue Date

03/11/2003

Effective Date

03/11/2003

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005