JENNIFER G EGGEMEYER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

JENNIFER G

Last Name

EGGEMEYER

Suffix

DDS

Business Name

JENNIFER G EGGEMEYER DDS

Original Issue Date

01/13/1997

Effective Date

01/13/1997

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005