JILL SMITH BINGHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003695

License Status

NOT RENEWED

Business

First Name

JILL SMITH

Last Name

BINGHAM

Business Name

JILL SMITH BINGHAM

Original Issue Date

09/11/1978

Effective Date

09/11/1978

Expiration Date

09/30/2002

City

ST PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005