JILL YVONNE MERRELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

JILL

Middle

YVONNE

Last Name

MERRELL

Business Name

JILL YVONNE MERRELL

Original Issue Date

07/09/2007

Effective Date

07/09/2007

Expiration Date

09/30/2009

City

NORFOLK

State

Zip

23507

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009