JENNIFER NICHOLE TRIPLETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013900

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

NICHOLE

Last Name

TRIPLETT

Business Name

JENNIFER NICHOLE TRIPLETT

Original Issue Date

05/21/2012

Effective Date

07/18/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/25/2016