MARLA ANDRA COGGINS - Dentist License in Illinois | # 020002417

MARLA ANDRA COGGINS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002417

License Status

NOT RENEWED

Business

N

First Name

MARLA ANDRA

Last Name

COGGINS

Business Name

MARLA ANDRA COGGINS

Original Issue Date

08/13/1974

Effective Date

08/13/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005