JENNIFER BETH GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010480

License Status

NOT RENEWED

Business

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

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005