JO ANN T OTTEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003328

License Status

INACTIVE

Business

First Name

JO ANN T

Last Name

OTTEN

Business Name

JO ANN T OTTEN

Original Issue Date

08/18/1977

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

SPRINGFIELD

State

Zip

65804

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/06/2012