JEAN ANN STAFFORD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001189

License Status

INACTIVE

Business

First Name

JEAN ANN

Last Name

STAFFORD

Business Name

JEAN ANN STAFFORD

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1990

City

OMAHA

State

Zip

68137

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/12/2005