COSTELLA JENKINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006554

License Status

NOT RENEWED

Business

First Name

COSTELLA

Last Name

JENKINS

Business Name

COSTELLA JENKINS

Original Issue Date

09/23/1987

Effective Date

09/23/1987

Expiration Date

09/30/1990

City

NASHVILLE

State

Zip

37209

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/12/2005