JENNIFER BLEVINS MOORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008876

License Status

NOT RENEWED

Business

First Name

JENNIFER BLEVINS

Last Name

MOORE

Business Name

JENNIFER BLEVINS MOORE

Original Issue Date

10/23/1996

Effective Date

10/23/1996

Expiration Date

09/30/1998

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005