JENNIFER MARIE HENDERSHOT - Dentist License in Illinois | # 018001220

JENNIFER MARIE HENDERSHOT

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001220

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

MARIE

Last Name

HENDERSHOT

Business Name

JENNIFER MARIE HENDERSHOT

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018