JACLYN RENEE MOSS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015419

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

RENEE

Last Name

MOSS

Business Name

JACLYN RENEE MOSS

Original Issue Date

06/23/2016

Effective Date

10/24/2018

Expiration Date

01/31/2022

City

FREDERICKTOWN

State

Zip

63645

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/09/2022