JENNIFER D BOLLAERT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011966

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BOLLAERT

Business Name

JENNIFER D BOLLAERT

Original Issue Date

03/05/2007

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/14/2012