JESSIE A MATHEW 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

JESSIE A

Last Name

MATHEW

Suffix

DDS

Business Name

JESSIE A MATHEW DDS

Original Issue Date

10/16/2003

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009