JACLYN MICHELE HARRIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013063

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

MICHELE

Last Name

HARRIS

Business Name

JACLYN MICHELE HARRIS

Original Issue Date

09/22/2009

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

ESSEX

State

Zip

60935

County

KANKAKEE

Ever Disciplined

LastModifiedDate

11/14/2012