JUDITH ANN STOUT - Dentist License in Georgia | # 020002449

JUDITH ANN STOUT

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002449

License Status

NOT RENEWED

Business

N

First Name

JUDITH ANN

Last Name

STOUT

Business Name

JUDITH ANN STOUT

Original Issue Date

10/21/1974

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

GA

Ever Disciplined

N

LastModifiedDate

11/04/2009