JASON P GENTA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

Title

DDS

First Name

JASON

Middle

Last Name

GENTA

Business Name

JASON P GENTA DDS

Original Issue Date

08/02/2012

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024