JENNIFER MARIE HENDERSHOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025821

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

HENDERSHOT

Business Name

JENNIFER MARIE HENDERSHOT

Original Issue Date

05/20/2002

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

WILKES-BARRE

State

Zip

18705

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/08/2010