JACQUELYNN PAGE PANGBURN - Dentist License in Indiana | # 020005593

JACQUELYNN PAGE PANGBURN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005593

License Status

NOT RENEWED

Business

N

First Name

JACQUELYNN PAGE

Last Name

PANGBURN

Business Name

JACQUELYNN PAGE PANGBURN

Original Issue Date

08/02/1984

Effective Date

08/02/1984

Expiration Date

09/30/1986

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005