JACQUELINE JO BLACKBURN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016263

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

BLACKBURN

Business Name

JACQUELINE JO BLACKBURN

Original Issue Date

08/06/2018

Effective Date

08/06/2018

Expiration Date

01/31/2022

City

LAGUNA HILLS

State

Zip

92653

Ever Disciplined

LastModifiedDate

05/09/2022