JEFFREY DAVID GLEN - Dentist License in Pennsylvania | # 019019316

JEFFREY DAVID GLEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019316

License Status

NOT RENEWED

Business

N

First Name

JEFFREY DAVID

Last Name

GLEN

Business Name

JEFFREY DAVID GLEN

Original Issue Date

09/26/1984

Effective Date

09/26/1984

Expiration Date

09/30/1988

State

PA

Ever Disciplined

N

LastModifiedDate

10/12/2005