JACKIE COSTELLO JOHNS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018484

License Status

NOT RENEWED

Business

First Name

JACKIE COSTELLO

Last Name

JOHNS

Business Name

JACKIE COSTELLO JOHNS

Original Issue Date

03/11/1983

Effective Date

03/11/1983

Expiration Date

09/30/1986

City

PALM BEACH

State

Zip

33407

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005