JERICA SUE BLOCK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008075

License Status

INACTIVE

Business

First Name

JERICA SUE

Last Name

BLOCK

Business Name

JERICA SUE BLOCK

Original Issue Date

08/25/1993

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

RANCHO CUCAMONGA

State

Zip

91730

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/24/2006