SHAWONDA T INGRAM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012710

License Status

INACTIVE

Business

First Name

SHAWONDA

Middle

Last Name

INGRAM

Business Name

SHAWONDA T INGRAM

Original Issue Date

10/17/2008

Effective Date

10/17/2008

Expiration Date

09/30/2009

City

SNELLVILLE

State

Zip

30078

Ever Disciplined

LastModifiedDate

06/04/2009