JADA JOHNSON-SPELLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

JADA

Last Name

JOHNSON-SPELLER

Suffix

DDS

Business Name

JADA JOHNSON-SPELLER DDS

Original Issue Date

11/07/1996

Effective Date

11/07/1996

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006