JACQUELYN LINNAE HANNAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003690

License Status

NOT RENEWED

Business

First Name

JACQUELYN LINNAE

Last Name

HANNAH

Business Name

JACQUELYN LINNAE HANNAH

Original Issue Date

09/11/1978

Effective Date

09/11/1978

Expiration Date

09/30/1992

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005