JESSICA MARIE DESJARDINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

MARIE

Last Name

DESJARDINS

Business Name

JESSICA MARIE DESJARDINS

Original Issue Date

01/04/2010

Effective Date

01/04/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012