MIRIAM SKEWIS JEROME Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009853

License Status

NOT RENEWED

Business

First Name

MIRIAM

Middle

SKEWIS

Last Name

JEROME

Business Name

MIRIAM SKEWIS JEROME

Original Issue Date

07/10/2000

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

EVANS

State

Zip

30809

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/04/2009