JAIME ANN PETTENON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000998

License Status

ACTIVE

Business

Title

DMD

First Name

JAIME

Middle

ANN

Last Name

PETTENON

Business Name

JAIME ANN PETTENON DMD

Original Issue Date

12/11/2017

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

07/02/2024