MARIAN LOUISE CRIST Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011350

License Status

INACTIVE

Business

First Name

MARIAN

Middle

LOUISE

Last Name

CRIST

Business Name

MARIAN LOUISE CRIST

Original Issue Date

06/29/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CANON CITY

State

Zip

81212

County

COLORADO

Ever Disciplined

LastModifiedDate

06/04/2009