POONAM JAIN DDS - Dentist License in Illinois | # 136000046

POONAM JAIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000046

License Status

NOT RENEWED

Business

N

First Name

POONAM

Last Name

JAIN

Suffix

DDS

Business Name

POONAM JAIN DDS

Original Issue Date

06/30/1997

Effective Date

06/30/1997

Expiration Date

06/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/13/2005