EVA JENNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

EVA

Last Name

JENNER

Business Name

EVA JENNER

Original Issue Date

01/11/1983

Effective Date

01/11/1983

Expiration Date

09/30/1988

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005