JENNAFER MARIE LONG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010894

License Status

INACTIVE

Business

First Name

JENNAFER

Middle

MARIE

Last Name

LONG

Business Name

JENNAFER MARIE LONG

Original Issue Date

04/20/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SCOTTSDALE

State

Zip

85255

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006