JENNIFER JOAN TRACEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010543

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

JOAN

Last Name

TRACEY

Business Name

JENNIFER JOAN TRACEY

Original Issue Date

02/21/2003

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

MERRITT ISLAND

State

Zip

32952

Ever Disciplined

LastModifiedDate

06/06/2012