JILL RENEE ERICKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013190

License Status

NOT RENEWED

Business

First Name

JILL

Middle

RENEE

Last Name

ERICKSON

Business Name

JILL RENEE ERICKSON

Original Issue Date

06/17/2010

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

GILBERT

State

Zip

85295

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/25/2016