JERRY E UDELSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000305

License Status

NOT RENEWED

Business

First Name

JERRY E

Last Name

UDELSON

Suffix

DDS

Business Name

JERRY E UDELSON DDS

Original Issue Date

12/10/1991

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

05/09/2022