PRISCILLA ADELE LEWIS - Dentist License in Georgia | # 020002423

PRISCILLA ADELE LEWIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002423

License Status

NOT RENEWED

Business

N

First Name

PRISCILLA ADELE

Last Name

LEWIS

Business Name

PRISCILLA ADELE LEWIS

Original Issue Date

08/13/1974

Effective Date

08/13/1974

State

GA

Ever Disciplined

N

LastModifiedDate

10/12/2005