JACQUELYN M BANDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006596

License Status

NOT RENEWED

Business

First Name

JACQUELYN M

Last Name

BANDER

Business Name

JACQUELYN M BANDER

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

09/30/1996

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005