JACQUELINE BRENNAN COSTAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012816

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

BRENNAN

Last Name

COSTAS

Business Name

JACQUELINE BRENNAN COSTAS

Original Issue Date

06/02/2009

Effective Date

05/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/05/2024