JEFFREY DAVID GLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019316

License Status

NOT RENEWED

Business

First Name

JEFFREY DAVID

Last Name

GLEN

Business Name

JEFFREY DAVID GLEN

Original Issue Date

09/26/1984

Effective Date

09/26/1984

Expiration Date

09/30/1988

City

PHILADELPHIA

State

Zip

19103

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/12/2005