JENNIFER A RIDGEWAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

RIDGEWAY

Business Name

JENNIFER A RIDGEWAY

Original Issue Date

04/29/1993

Effective Date

04/29/1993

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005