JODY R NEISENDORF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006383

License Status

ACTIVE

Business

First Name

JODY R

Last Name

NEISENDORF

Business Name

JODY R NEISENDORF

Original Issue Date

07/13/1987

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

05/28/2024