JENNIFER L SULLENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007705

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

SULLENS

Business Name

JENNIFER L SULLENS

Original Issue Date

07/09/1992

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

PATOKA

State

Zip

62875

County

MARION

Ever Disciplined

LastModifiedDate

04/25/2016