JESS W MIKESELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019675

License Status

NOT RENEWED

Business

First Name

JESS W

Last Name

MIKESELL

Business Name

JESS W MIKESELL

Original Issue Date

07/24/1985

Effective Date

08/03/2022

Expiration Date

09/30/2024

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

02/04/2025