Jonathan Phen
ActiveIllinois license 019034133
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019034133
- Status
- Active
- First issued
- April 5, 2023
- Expires
- September 30, 2027
- License holder
- Jonathan Phen
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/22/2024
Other Illinois licenses under this name
-
IL
ActivePeoria, ILExpires Sep 30, 2027
Contact
Peoria, IL 61611
Tazewell County