DAVID ANTHONY JARRIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000542

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ANTHONY

Last Name

JARRIN

Business Name

DAVID ANTHONY JARRIN

Original Issue Date

01/28/2002

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/31/2018