JAIME ANN PETTENON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DMD

First Name

JAIME

Middle

ANN

Last Name

PETTENON

Business Name

JAIME ANN PETTENON DMD

Original Issue Date

06/22/2016

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2024