IMANI JACQUELINE BEHRENS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

Title

DMD

First Name

IMANI

Middle

JACQUELINE

Last Name

BEHRENS

Business Name

IMANI JACQUELINE BEHRENS DMD

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025