JOLEEN KAY KLUMP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010932

License Status

NOT RENEWED

Business

First Name

JOLEEN

Middle

KAY

Last Name

KLUMP

Business Name

JOLEEN KAY KLUMP

Original Issue Date

06/18/2004

Effective Date

12/18/2009

Expiration Date

09/30/2012

City

AVA

State

Zip

62907

County

JACKSON

Ever Disciplined

LastModifiedDate

11/14/2012