ISAIAH T JERNBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029898

License Status

NOT RENEWED

Business

Title

DDS

First Name

ISAIAH

Middle

Last Name

JERNBERG

Business Name

ISAIAH T JERNBERG DDS

Original Issue Date

07/02/2014

Effective Date

09/11/2015

Expiration Date

09/30/2018

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018