JENNIFER JO BLOME Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006934

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BLOME

Business Name

JENNIFER JO BLOME

Original Issue Date

07/25/1989

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

09/29/2024