JEANNE MARIE BOHMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003963

License Status

NOT RENEWED

Business

First Name

JEANNE MARIE

Last Name

BOHMAN

Business Name

JEANNE MARIE BOHMAN

Original Issue Date

08/14/1979

Effective Date

08/14/1979

Expiration Date

09/30/1984

City

MESA

State

Zip

85201

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005