PROFESSIONAL LICENSES – SAMPLE BACKGROUND CHECK REPORT
| Professional Licenses – 10 records were found |
| 1: Professional License | |
| Licensee Information | |
| Name: | SHARP, GLENN ALLEN |
| SSN: | 521-98-XXXX |
| Company Name: | HAPPY SMILES FAMILY DENTISTRY PC |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| County: | JEFFERSON |
| Phone: | (303) 645-3591 |
| Date of Birth: | 07/1962 |
| Gender: | M |
| License Information | |
| Profession or Board: | DENTISTRY |
| License Type: | GENERAL DENTISTRY |
| License Number: | 473 |
| Issue Date: | 01/19/1994 |
| Expiration Date: | 12/31/2008 |
| Status: | ACTIVE |
| State: | Wyoming |
| 2: Professional License | |
| Licensee Information | |
| Name: | SHARP, GLENN ALLEN |
| SSN: | 521-98-XXXX |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| County: | JEFFERSON |
| Phone: | (303) 645-3591 |
| License Information | |
| Profession or Board: | MEDICAL |
| License Type: | DENTIST |
| License Number: | 6701 |
| Issue Date: | 01/02/1990 |
| Expiration Date: | 02/28/2010 |
| Last Renewal Date: | 01/22/2008 |
| Status: | ACTIVE |
| License Obtained By: | CRDTS EXAM |
| State: | Colorado |
| 3: Professional License | |
| Licensee Information | |
| Name: | SHARP, GLENN ALLEN |
| SSN: | 521-98-XXXX |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| County: | JEFFERSON |
| Phone: | (303) 645-3591 |
| License Information | |
| Profession or Board: | BOARD OF DENTAL EXAMINERS |
| License Type: | DENTIST |
| License Number: | DEN-6701 |
| Issue Date: | 01/02/1990 |
| Expiration Date: | 02/28/2006 |
| Last Renewal Date: | 03/01/2004 |
| Status: | ACTIVE |
| State: | Colorado |
| 4: Professional License | |
| Licensee Information | |
| Name: | SHARP, GLENN ALLEN |
| SSN: | 521-98-XXXX |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| County: | JEFFERSON |
| License Information | |
| Profession or Board: | MEDICAL |
| License Type: | DENTIST |
| License Number: | 6701 |
| Issue Date: | 01/02/1990 |
| Expiration Date: | 02/28/2006 |
| Status: | ACTIVE |
| State: | Colorado |
| 5: Professional License | |
| Licensee Information | |
| Name: | SHARP, GLENN ALLEN |
| SSN: | 521-98-XXXX |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| County: | JEFFERSON |
| Phone: | (303) 645-3591 |
| License Information | |
| Profession or Board: | BOARD OF DENTAL EXAMINERS |
| License Type: | DENTIST |
| License Number: | DEN-6701 |
| Issue Date: | 01/02/1990 |
| Expiration Date: | 02/29/2004 |
| Last Renewal Date: | 03/01/2002 |
| Status: | ACTIVE |
| State: | Colorado |
| 6: Professional License | |
| Licensee Information | |
| Name: | SHARP, GLENN ALLEN |
| SSN: | 521-98-XXXX |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| County: | JEFFERSON |
| Phone: | (303) 645-3591 |
| License Information | |
| Profession or Board: | BOARD OF DENTAL EXAMINERS |
| License Type: | PRACTICE OF DENTISTRY |
| License Number: | DEN-6701 |
| Issue Date: | 01/02/1990 |
| Expiration Date: | 02/29/2004 |
| Last Renewal Date: | 03/01/2002 |
| Status: | ACTIVE |
| State: | Colorado |
| 7: Professional License | |
| Licensee Information | |
| Name: | SHARP DDS, GLENN |
| SSN: | 521-98-XXXX |
| Company Name: | EVERGREEN FAMILY DENTISTRY |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| Phone: | (303) 645-3591 |
| Date of Birth: | 01/1962 |
| Gender: | MALE |
| License Information | |
| Profession or Board: | D.D.S. |
| License Type: | D.D.S. |
| Expiration Date: | 02/29/2008 |
| State: | Colorado |
| 8: Professional License | |
| Licensee Information | |
| Name: | SHARP DDS, GLENN |
| SSN: | 521-98-XXXX |
| Company Name: | EVERGREEN FAMILY DENTISTRY |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| Phone: | (303) 645-3591 |
| Date of Birth: | 01/1962 |
| Gender: | MALE |
| License Information | |
| Profession or Board: | D.D.S. |
| License Type: | D.D.S. |
| Expiration Date: | 12/31/2006 |
| State: | Wyoming |
| 9: Professional License | |
| Licensee Information | |
| Name: | SHARP DDS, GLENN |
| SSN: | 521-98-XXXX |
| Company Name: | EVERGREEN FAMILY DENTISTRY |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| Phone: | (303) 645-3591 |
| Date of Birth: | 01/1962 |
| Gender: | MALE |
| License Information | |
| Profession or Board: | D.D.S. |
| License Type: | D.D.S. |
| Expiration Date: | 02/28/2005 |
| State: | Colorado |
| 10: Professional License | |
| Licensee Information | |
| Name: | SHARP DDS, GLENN |
| SSN: | 521-98-XXXX |
| Company Name: | EVERGREEN FAMILY DENTISTRY |
| Address: | PO BOX 3253 EVERGREEN, CO 80437-3253 |
| Phone: | (303) 645-3591 |
| Date of Birth: | 01/1962 |
| Gender: | MALE |
| License Information | |
| Profession or Board: | D.D.S. |
| License Type: | D.D.S. |
| State: | Wyoming |