JENNIFER SARMIENTO CERVANTES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

SARMIENTO

Last Name

CERVANTES

Suffix

DMD

Business Name

JENNIFER SARMIENTO CERVANTES DMD

Original Issue Date

06/03/2005

Effective Date

08/10/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016