JENELLE MARIE STINE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009816

License Status

INACTIVE

Business

First Name

JENELLE

Middle

MARIE

Last Name

STINE

Business Name

JENELLE MARIE STINE

Original Issue Date

06/27/2000

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

DALLAS CENTER

State

Zip

50063

County

IOWA

Ever Disciplined

LastModifiedDate

06/06/2012