License holder summary

Hicks, Jennifer Ann is a Expanded Function - Orthodontics licensed to practice in Missouri. The address on file for Hicks, Jennifer Ann is 1715 SE Hwy V , Polo 64671. This licensed professional license is current. The license was granted 06/21/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Hicks, Jennifer Ann
Expanded Function - Orthodontics
License number
2013020456  
Date granted
06/21/2013
Date expires
02/28/2018
Class
Expanded Function - Orthodontics
Status
Clear
Address
1715 SE Hwy V 
licensingmissouri.org
ID 2041523
LAST UPDATED 2024-05-16 21:49:56 UTC

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