JEANINE ENID EATON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

JEANINE ENID

Last Name

EATON

Suffix

DDS

Business Name

JEANINE ENID EATON DDS

Original Issue Date

01/27/1997

Effective Date

01/27/1997

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005