JACQUELYNN C PETERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000518

License Status

NOT RENEWED

Business

First Name

JACQUELYNN C

Last Name

PETERSON

Business Name

JACQUELYNN C PETERSON

Original Issue Date

07/24/1961

Effective Date

07/24/1961

Expiration Date

04/01/1982

City

FT. LAUDERDALE

State

Zip

33317

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005