STEPHANIE D JOLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

JOLY

Business Name

STEPHANIE D JOLY

Original Issue Date

07/11/2008

Effective Date

08/13/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012