JEANNE MARIE FALAT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011185

License Status

INACTIVE

Business

First Name

JEANNE

Middle

MARIE

Last Name

FALAT

Business Name

JEANNE MARIE FALAT

Original Issue Date

09/30/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

BEREA

State

Zip

44017

County

OHIO

Ever Disciplined

LastModifiedDate

07/24/2006