ROSITA C JIMENEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

ROSITA

Middle

Last Name

JIMENEZ

Business Name

ROSITA C JIMENEZ

Original Issue Date

01/01/1998

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025