PRISCILLA ADELE LEWIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002423

License Status

NOT RENEWED

Business

First Name

PRISCILLA ADELE

Last Name

LEWIS

Business Name

PRISCILLA ADELE LEWIS

Original Issue Date

08/13/1974

Effective Date

08/13/1974

City

CHICAGO

State

Zip

60630

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005