JESSICA K DEAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

DEAN

Business Name

JESSICA K DEAN

Original Issue Date

08/28/2012

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

ELMWOOD

State

Zip

61529

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016