DAVID SCOTT JARDENIL DDS - Dentist License in Illinois | # 137000403

DAVID SCOTT JARDENIL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000403

License Status

NOT RENEWED

Business

N

First Name

DAVID SCOTT

Last Name

JARDENIL

Suffix

DDS

Business Name

DAVID SCOTT JARDENIL DDS

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

09/30/1998

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/13/2005