ANISSA B COLLINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009717

License Status

NOT RENEWED

Business

First Name

ANISSA

Middle

Last Name

COLLINS

Business Name

ANISSA B COLLINS

Original Issue Date

03/31/2000

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

MARIETTA

State

Zip

30068

Ever Disciplined

LastModifiedDate

11/14/2012