JACQUELYNN PAGE PANGBURN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005593

License Status

NOT RENEWED

Business

First Name

JACQUELYNN PAGE

Last Name

PANGBURN

Business Name

JACQUELYNN PAGE PANGBURN

Original Issue Date

08/02/1984

Effective Date

08/02/1984

Expiration Date

09/30/1986

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005