JENNIFER C MICKLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007928

License Status

NOT RENEWED

Business

First Name

JENNIFER C

Last Name

MICKLE

Business Name

JENNIFER C MICKLE

Original Issue Date

06/29/1993

Effective Date

07/11/2018

Expiration Date

01/31/2022

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/09/2022