JILL D PUTKONEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003471

License Status

INACTIVE

Business

First Name

JILL D

Last Name

PUTKONEN

Business Name

JILL D PUTKONEN

Original Issue Date

06/14/1978

Effective Date

06/14/1978

Expiration Date

09/30/1990

City

MARIETTA

State

Zip

30067

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005