JEFFREY LEE BUSH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018495

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

LEE

Last Name

BUSH

Business Name

JEFFREY LEE BUSH

Original Issue Date

04/12/1983

Effective Date

04/12/1983

Expiration Date

09/30/1998

City

MONTAGUE

State

Zip

49437

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005