JESSICA MARIE BEAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012186

License Status

INACTIVE

Business

First Name

JESSICA

Middle

MARIE

Last Name

BEAN

Business Name

JESSICA MARIE BEAN

Original Issue Date

06/29/2007

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

FORT COLLINS

State

Zip

80524

Ever Disciplined

LastModifiedDate

09/24/2012