LISA MARIE JENKINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009627

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

JENKINS

Business Name

LISA MARIE JENKINS

Original Issue Date

09/22/1999

Effective Date

08/30/2018

Expiration Date

01/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022