JAY A VANDERVORT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020954

License Status

NOT RENEWED

Business

First Name

JAY A

Last Name

VANDERVORT

Business Name

JAY A VANDERVORT

Original Issue Date

11/14/1987

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHESAPEAKE

State

Zip

23322

County

VIRGINIA

Ever Disciplined

LastModifiedDate

01/08/2010