JENNIFER K TRATHEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027484

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

TRATHEN

Business Name

JENNIFER K TRATHEN

Original Issue Date

08/07/2007

Effective Date

08/07/2007

Expiration Date

09/30/2009

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

01/08/2010