JILL M SIPKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006627

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

SIPKA

Business Name

JILL M SIPKA

Original Issue Date

07/29/1988

Effective Date

10/08/2015

Expiration Date

09/30/2018

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018