JOSSALYNN LEE HENRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011596

License Status

NOT RENEWED

Business

First Name

JOSSALYNN

Middle

LEE

Last Name

HENRY

Business Name

JOSSALYNN LEE HENRY

Original Issue Date

03/01/2006

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2012