Jennifer Blevins Moore
ExpiredIllinois license 020008876
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020008876
- Status
- Expired (Not Renewed)
- First issued
- October 23, 1996
- Expired
- September 30, 1998
- License holder
- Jennifer Blevins Moore
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/23/1996
Contact
Terre Haute, IN 47803
Indiana County