JENNIFER STEVENS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

Title

DMD

First Name

JENNIFER

Last Name

STEVENS

Business Name

JENNIFER STEVENS DMD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60604

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

08/12/2024