JESSE ZAVALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

JESSE

Last Name

ZAVALA

Suffix

DDS

Business Name

JESSE ZAVALA DDS

Original Issue Date

02/15/2007

Effective Date

02/15/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009