JILL LUANN SELF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009745

License Status

NOT RENEWED

Business

First Name

JILL

Middle

LUANN

Last Name

SELF

Business Name

JILL LUANN SELF

Original Issue Date

06/08/2000

Effective Date

06/08/2000

Expiration Date

09/30/2002

City

SEATTLE

State

Zip

98125

Ever Disciplined

LastModifiedDate

10/17/2005