JACLYN PATRICIA MACDONALD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

JACLYN

Middle

PATRICIA

Last Name

MACDONALD

Business Name

JACLYN PATRICIA MACDONALD

Original Issue Date

05/30/2017

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024