BRITTANY JAE ELIZABETH BROCKETTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015017

License Status

NOT RENEWED

Business

First Name

BRITTANY

Middle

JAE ELIZABETH

Last Name

BROCKETTT

Business Name

BRITTANY JAE ELIZABETH BROCKETTT

Original Issue Date

03/10/2015

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/31/2018