JONATHAN WILLIE ROBLES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

Title

DMD

First Name

JONATHAN

Middle

WILLIE

Last Name

ROBLES

Business Name

JONATHAN WILLIE ROBLES DMD

Original Issue Date

10/17/2016

Effective Date

10/17/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018