JENNIFER A RIDGEWAY - Dentist License in New Mexico | # 019023163

JENNIFER A RIDGEWAY

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023163

License Status

NOT RENEWED

Business

N

First Name

JENNIFER A

Last Name

RIDGEWAY

Business Name

JENNIFER A RIDGEWAY

Original Issue Date

02/24/1993

Effective Date

06/16/2015

Expiration Date

09/30/2018

State

NM

Ever Disciplined

N

LastModifiedDate

10/31/2018