BROOKE AMBER FALLINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014219

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

AMBER

Last Name

FALLINE

Business Name

BROOKE AMBER FALLINE

Original Issue Date

12/10/2012

Effective Date

12/10/2012

Expiration Date

09/30/2015

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

04/25/2016