JACQUELINE EVERTS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008840

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

EVERTS

Business Name

JACQUELINE EVERTS

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

09/30/2002

City

WAUPACA

State

Zip

54981

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005