JENNIFER SHANGO ADHAMI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DDS

First Name

JENNIFER

Middle

SHANGO

Last Name

ADHAMI

Business Name

JENNIFER SHANGO ADHAMI DDS

Original Issue Date

02/07/2014

Effective Date

08/12/2015

Expiration Date

09/30/2018

City

DEER PARK

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018