JESSICA A WEGMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013552

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

WEGMAN

Business Name

JESSICA A WEGMAN

Original Issue Date

06/24/2011

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018