JACQUELINE THOMPSON-FERNANDEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

JACQUELINE

Last Name

THOMPSON-FERNANDEZ

Business Name

JACQUELINE THOMPSON-FERNANDEZ

Original Issue Date

09/20/2006

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/25/2024