LORI GALWAY FASSETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004757

License Status

NOT RENEWED

Business

First Name

LORI

Last Name

GALWAY FASSETT

Business Name

LORI GALWAY FASSETT

Original Issue Date

10/14/1981

Effective Date

10/14/1981

Expiration Date

09/30/1998

City

PHOENIX

State

Zip

85050

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005