RITA FAYE JABLON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009136

License Status

NOT RENEWED

Business

First Name

RITA FAYE

Last Name

JABLON

Business Name

RITA FAYE JABLON

Original Issue Date

12/10/1997

Effective Date

08/30/2018

Expiration Date

01/31/2022

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

05/09/2022