JENNA M BERNARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013350

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

Last Name

BERNARD

Business Name

JENNA M BERNARD

Original Issue Date

07/19/2010

Effective Date

07/19/2010

Expiration Date

09/30/2012

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

11/14/2012