SHIRLEY JEANNE MAREK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009670

License Status

INACTIVE

Business

First Name

SHIRLEY

Middle

JEANNE

Last Name

MAREK

Business Name

SHIRLEY JEANNE MAREK

Original Issue Date

11/09/1999

Effective Date

10/29/2012

Expiration Date

09/30/2015

City

LYNN HAVEN

State

Zip

32444

County

FLORIDA

Ever Disciplined

LastModifiedDate

06/08/2015