JENNIFER BLEVINS MOORE - Dentist License in Indiana | # 020008876

JENNIFER BLEVINS MOORE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008876

License Status

NOT RENEWED

Business

N

First Name

JENNIFER BLEVINS

Last Name

MOORE

Business Name

JENNIFER BLEVINS MOORE

Original Issue Date

10/23/1996

Effective Date

10/23/1996

Expiration Date

09/30/1998

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005