JEFFREY TODD HAWKINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000500

License Status

NOT RENEWED

Business

First Name

JEFFREY TODD

Last Name

HAWKINS

Suffix

DDS

Business Name

JEFFREY TODD HAWKINS DDS

Original Issue Date

06/23/2000

Effective Date

06/23/2000

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005