KATHLEEN BOUSQUET Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010382

License Status

INACTIVE

Business

First Name

KATHLEEN

Last Name

BOUSQUET

Business Name

KATHLEEN BOUSQUET

Original Issue Date

07/10/2002

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

APO

State

Zip

09468

Ever Disciplined

LastModifiedDate

06/06/2012