JESSICA HELENE SATHISSARAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

HELENE

Last Name

SATHISSARAT

Suffix

DDS

Business Name

JESSICA HELENE SATHISSARAT DDS

Original Issue Date

06/07/2011

Effective Date

06/07/2011

Expiration Date

09/30/2012

City

DAYTON

State

Zip

45459

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012