JONATHAN CHARLES PARKER 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

First Name

JONATHAN CHARLES

Last Name

PARKER

Suffix

DDS

Business Name

JONATHAN CHARLES PARKER DDS

Original Issue Date

01/01/1998

Effective Date

07/17/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016