JASON CHANDLER PRIMAVERA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Middle

CHANDLER

Last Name

PRIMAVERA

Business Name

JASON CHANDLER PRIMAVERA DDS

Original Issue Date

07/17/2012

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018