JACQUELYNN M GALBAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010065

License Status

INACTIVE

Business

First Name

JACQUELYNN

Middle

Last Name

GALBAN

Business Name

JACQUELYNN M GALBAN

Original Issue Date

08/14/2001

Effective Date

06/13/2007

Expiration Date

09/30/2009

City

SEARCY

State

Zip

72143

County

ARIZONA

Ever Disciplined

LastModifiedDate

06/13/2007