JENNIFER PLOETZ WARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

JENNIFER PLOETZ

Last Name

WARD

Business Name

JENNIFER PLOETZ WARD

Original Issue Date

10/24/1983

Effective Date

10/24/1983

Expiration Date

09/30/2006

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006