JONATHAN ANDREW BERNSTEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

ANDREW

Last Name

BERNSTEIN

Suffix

DDS

Business Name

JONATHAN ANDREW BERNSTEIN DDS

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

09/30/2004

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005