JENNIFER BETH GREEN - Dentist License in Illinois | # 020010480

JENNIFER BETH GREEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010480

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

BETH

Last Name

GREEN

Business Name

JENNIFER BETH GREEN

Original Issue Date

09/27/2002

Effective Date

09/27/2002

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005