JERRY E UDELSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

JERRY E

Last Name

UDELSON

Suffix

DDS

Business Name

JERRY E UDELSON DDS

Original Issue Date

06/10/1991

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024