MARTHA PATRICIA JAIMES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

First Name

MARTHA

Middle

PATRICIA

Last Name

JAIMES

Business Name

MARTHA PATRICIA JAIMES

Original Issue Date

05/19/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60564

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024