JENNIFER M HIVELY - Dentist License in Illinois | # 020011099

JENNIFER M HIVELY

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011099

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

M

Last Name

HIVELY

Business Name

JENNIFER M HIVELY

Original Issue Date

07/28/2004

Effective Date

07/30/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012