JEANETTE YOUNG HALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

JEANETTE

Middle

YOUNG

Last Name

HALL

Business Name

JEANETTE YOUNG HALL

Original Issue Date

01/11/2011

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016