JASON WILLIAM COOPER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

Title

DDS

First Name

JASON

Middle

WILLIAM

Last Name

COOPER

Business Name

JASON WILLIAM COOPER DDS

Original Issue Date

12/29/2017

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/04/2024