MARILYN S BURDICK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004852

License Status

INACTIVE

Business

First Name

MARILYN S

Last Name

BURDICK

Business Name

MARILYN S BURDICK

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/2002

City

FORT MOHAVE

State

Zip

86426

Ever Disciplined

LastModifiedDate

10/17/2005