JUDITH ANN STOUT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002449

License Status

NOT RENEWED

Business

First Name

JUDITH ANN

Last Name

STOUT

Business Name

JUDITH ANN STOUT

Original Issue Date

10/21/1974

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROSWELL

State

Zip

30076

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/04/2009