JONATHAN THEODORE CONSTANTINE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

THEODORE

Last Name

CONSTANTINE

Business Name

JONATHAN THEODORE CONSTANTINE

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/09/2024