JACQUELINE JO BLACKBURN - Dentist License in California | # 020016263

JACQUELINE JO BLACKBURN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016263

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

JO

Last Name

BLACKBURN

Business Name

JACQUELINE JO BLACKBURN

Original Issue Date

08/06/2018

Effective Date

08/06/2018

Expiration Date

01/31/2022

State

CA

Ever Disciplined

N

LastModifiedDate

05/09/2022