DAVID SCOTT JARDENIL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

DAVID SCOTT

Last Name

JARDENIL

Suffix

DDS

Business Name

DAVID SCOTT JARDENIL DDS

Original Issue Date

08/09/1996

Effective Date

08/09/1996

Expiration Date

09/30/1998

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005