KAREN M JACOBS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011879

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

Last Name

JACOBS

Business Name

KAREN M JACOBS

Original Issue Date

09/13/2006

Effective Date

09/13/2006

Expiration Date

09/30/2009

City

MILWAUKEE

State

Zip

53223

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2009