JENNIFER A RIDGEWAY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023163

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

RIDGEWAY

Business Name

JENNIFER A RIDGEWAY

Original Issue Date

02/24/1993

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

ALBUQUERQUE

State

Zip

87109

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/31/2018