JENNIFER ELLEN KEATON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008928

License Status

NOT RENEWED

Business

First Name

JENNIFER ELLEN

Last Name

KEATON

Business Name

JENNIFER ELLEN KEATON

Original Issue Date

04/08/1997

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

11/04/2009