JONATHAN D BISHOP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000863

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

BISHOP

Business Name

JONATHAN D BISHOP

Original Issue Date

04/01/2013

Effective Date

04/01/2013

Expiration Date

09/30/2015

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

02/08/2016