JENNIFER LEE FULL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

Title

DDS

First Name

JENNIFER

Middle

LEE

Last Name

FULL

Business Name

JENNIFER LEE FULL DDS

Original Issue Date

08/28/2023

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/11/2024