JILL LUANN SELF - Dentist License in Washington | # 020009745

JILL LUANN SELF

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009745

License Status

NOT RENEWED

Business

N

First Name

JILL

Middle

LUANN

Last Name

SELF

Business Name

JILL LUANN SELF

Original Issue Date

06/08/2000

Effective Date

06/08/2000

Expiration Date

09/30/2002

State

WA

Ever Disciplined

N

LastModifiedDate

10/17/2005