JACQUELINE MARIE BUSCH - Dentist License in Georgia | # 020001615

JACQUELINE MARIE BUSCH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001615

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE MARIE

Last Name

BUSCH

Business Name

JACQUELINE MARIE BUSCH

Original Issue Date

11/22/1971

Effective Date

11/22/1971

Expiration Date

09/30/1984

State

GA

Ever Disciplined

N

LastModifiedDate

10/12/2005