CHANDLER FAULKNER TEMPEST DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

Title

DMD

First Name

CHANDLER

Middle

FAULKNER

Last Name

TEMPEST

Business Name

CHANDLER FAULKNER TEMPEST DMD

Original Issue Date

07/24/2023

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024