JENNIFER ANNETTE BURGE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010293

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

ANNETTE

Last Name

BURGE

Business Name

JENNIFER ANNETTE BURGE

Original Issue Date

06/11/2002

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

08/30/2024