ANISSA B COLLINS - Dentist License in Georgia | # 020009717

ANISSA B COLLINS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009717

License Status

NOT RENEWED

Business

N

First Name

ANISSA

Middle

B

Last Name

COLLINS

Business Name

ANISSA B COLLINS

Original Issue Date

03/31/2000

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

GA

Ever Disciplined

N

LastModifiedDate

11/14/2012