JESSICA L POLSEAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006769

License Status

INACTIVE

Business

First Name

JESSICA L

Last Name

POLSEAN

Business Name

JESSICA L POLSEAN

Original Issue Date

08/13/1988

Effective Date

07/25/2018

Expiration Date

01/31/2022

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/04/2022