LAWRENCE WILLIAM JENKINS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

LAWRENCE WILLIAM

Last Name

JENKINS

Suffix

DDS

Business Name

LAWRENCE WILLIAM JENKINS DDS

Original Issue Date

01/01/1998

Effective Date

07/20/2015

Expiration Date

09/30/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018