JANINE M SELBURG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011693

License Status

NOT RENEWED

Business

First Name

JANINE

Middle

Last Name

SELBURG

Business Name

JANINE M SELBURG

Original Issue Date

06/22/2006

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018