JO ELLEN H MOLINE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000673

License Status

INACTIVE

Business

First Name

JO ELLEN H

Last Name

MOLINE

Business Name

JO ELLEN H MOLINE

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/1990

City

SANTA MONICA

State

Zip

90405

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005