JENNIFER NICOLE LAURENCE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031836

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

NICOLE

Last Name

LAURENCE

Business Name

JENNIFER NICOLE LAURENCE

Original Issue Date

08/13/2018

Effective Date

08/13/2018

Expiration Date

01/31/2022

City

MASCOUTAH

State

Zip

62258

Ever Disciplined

LastModifiedDate

05/09/2022