HOLLY ANN MANSFIELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011941

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

ANN

Last Name

MANSFIELD

Business Name

HOLLY ANN MANSFIELD

Original Issue Date

01/26/2007

Effective Date

01/26/2007

Expiration Date

09/30/2009

City

DUNEDIN

State

Zip

34698

Ever Disciplined

LastModifiedDate

11/04/2009