JACQUETTA KAZAN MENOLD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003193

License Status

ACTIVE

Business

First Name

JACQUETTA KAZAN

Last Name

MENOLD

Business Name

JACQUETTA KAZAN MENOLD

Original Issue Date

07/01/1977

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/28/2024