JEFFREY FORREST POORE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015512

License Status

NOT RENEWED

Business

First Name

JEFFREY FORREST

Last Name

POORE

Suffix

DDS

Business Name

JEFFREY FORREST POORE DDS

Original Issue Date

07/13/1976

Effective Date

07/13/1976

City

SALT LAKE CITY

State

Zip

84121

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005