TAMMI L LEAVITT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008656

License Status

INACTIVE

Business

First Name

TAMMI

Middle

Last Name

LEAVITT

Business Name

TAMMI L LEAVITT

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/1998

City

ROGERS

State

Zip

72756

Ever Disciplined

LastModifiedDate

10/12/2005