JAYNE M STICKNEY Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000425

License Status

EXPIRED

Business

First Name

JAYNE

Middle

Last Name

STICKNEY

Business Name

JAYNE M STICKNEY

Original Issue Date

07/01/1991

Effective Date

07/01/1991

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005