JASON CHANDLER PRIMAVERA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000928

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Middle

CHANDLER

Last Name

PRIMAVERA

Business Name

JASON CHANDLER PRIMAVERA DDS

Original Issue Date

08/11/2015

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

10/31/2018