TERRI LYNN JACOBY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011619

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

LYNN

Last Name

JACOBY

Business Name

TERRI LYNN JACOBY

Original Issue Date

03/14/2006

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ANDOVER

State

Zip

67002

County

KANSAS

Ever Disciplined

LastModifiedDate

11/08/2006