JILL ELIZABETH FRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013120

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ELIZABETH

Last Name

FRY

Business Name

JILL ELIZABETH FRY

Original Issue Date

02/23/2010

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016