JENCY ABRAHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

JENCY

Last Name

ABRAHAM

Business Name

JENCY ABRAHAM

Original Issue Date

08/12/2014

Effective Date

08/12/2014

Expiration Date

09/30/2015

City

DES PLAINES

State

Zip

60018

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016