BRUNO CORREIA JHAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRUNO

Middle

CORREIA

Last Name

JHAM

Business Name

BRUNO CORREIA JHAM DDS

Original Issue Date

10/13/2017

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022