CARRIE L WEISBAUM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006131

License Status

INACTIVE

Business

First Name

CARRIE L

Last Name

WEISBAUM

Business Name

CARRIE L WEISBAUM

Original Issue Date

07/16/1986

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GLENDORA

State

Zip

91741

Ever Disciplined

LastModifiedDate

07/24/2006