JASON STANWOOD THOMPSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025753

License Status

NOT RENEWED

Business

First Name

JASON

Middle

STANWOOD

Last Name

THOMPSON

Business Name

JASON STANWOOD THOMPSON

Original Issue Date

02/04/2002

Effective Date

02/04/2002

Expiration Date

09/30/2004

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005