JACQUELINE MARIE BUSCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001615

License Status

NOT RENEWED

Business

First Name

JACQUELINE MARIE

Last Name

BUSCH

Business Name

JACQUELINE MARIE BUSCH

Original Issue Date

11/22/1971

Effective Date

11/22/1971

Expiration Date

09/30/1984

City

NORCROSS

State

Zip

30092

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005