JENNAFER MARIE LONG - Dentist License in Arizona | # 020010894

JENNAFER MARIE LONG

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010894

License Status

INACTIVE

Business

N

First Name

JENNAFER

Middle

MARIE

Last Name

LONG

Business Name

JENNAFER MARIE LONG

Original Issue Date

04/20/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

AZ

Ever Disciplined

N

LastModifiedDate

07/24/2006