JERRY W HUSSONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021330

License Status

NOT RENEWED

Business

First Name

JERRY W

Last Name

HUSSONG

Business Name

JERRY W HUSSONG

Original Issue Date

09/24/1988

Effective Date

09/24/1988

Expiration Date

09/30/2000

City

SALT LAKE CITY

State

Zip

84109

County

UTAH

Ever Disciplined

LastModifiedDate

10/17/2005