JEFFREY BRYAN GREENE - Dentist License in Arizona | # 019018471

JEFFREY BRYAN GREENE

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018471

License Status

INACTIVE

Business

N

First Name

JEFFREY BRYAN

Last Name

GREENE

Business Name

JEFFREY BRYAN GREENE

Original Issue Date

02/09/1983

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

AZ

Ever Disciplined

N

LastModifiedDate

07/24/2006