JAZMIN F CUIN-PARKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

JAZMIN F

Last Name

CUIN-PARKER

Business Name

JAZMIN F CUIN-PARKER

Original Issue Date

03/18/1993

Effective Date

03/18/1993

Expiration Date

09/30/1998

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005