JENNIFER MARIE HENDERSHOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001220

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

HENDERSHOT

Business Name

JENNIFER MARIE HENDERSHOT

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018