JENNIFER M HENDRICKSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008218

License Status

NOT RENEWED

Business

First Name

JENNIFER M

Last Name

HENDRICKSON

Business Name

JENNIFER M HENDRICKSON

Original Issue Date

06/24/1994

Effective Date

07/17/2012

Expiration Date

09/30/2015

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016