JACQUELINE SUNJA PROMPTON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

SUNJA

Last Name

PROMPTON

Business Name

JACQUELINE SUNJA PROMPTON

Original Issue Date

01/24/2020

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024