JERMIN MATHEW JOSEPH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

Title

DMD

First Name

JERMIN

Middle

MATHEW

Last Name

JOSEPH

Business Name

JERMIN MATHEW JOSEPH DMD

Original Issue Date

10/29/2023

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/30/2024