JENNIFER JENAY THEODOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015183

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

JENAY

Last Name

THEODOR

Business Name

JENNIFER JENAY THEODOR

Original Issue Date

08/03/2015

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/26/2024