JAY A VANDERVORT - Dentist License in Virginia | # 019020954

JAY A VANDERVORT

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020954

License Status

NOT RENEWED

Business

N

First Name

JAY A

Last Name

VANDERVORT

Business Name

JAY A VANDERVORT

Original Issue Date

11/14/1987

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

VA

Ever Disciplined

N

LastModifiedDate

01/08/2010