KRISTIN N JACKSON - Dentist License in Indiana | # 020013156

KRISTIN N JACKSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013156

License Status

NOT RENEWED

Business

N

First Name

KRISTIN

Middle

N

Last Name

JACKSON

Business Name

KRISTIN N JACKSON

Original Issue Date

05/14/2010

Effective Date

09/21/2012

Expiration Date

09/30/2015

State

IN

Ever Disciplined

N

LastModifiedDate

04/25/2016