JACQUELINE E LEWIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013932

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

LEWIS

Business Name

JACQUELINE E LEWIS

Original Issue Date

06/25/2012

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

08/28/2024