MANYLA E PUTNAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014579

License Status

NOT RENEWED

Business

First Name

MANYLA

Middle

Last Name

PUTNAM

Business Name

MANYLA E PUTNAM

Original Issue Date

12/20/2013

Effective Date

12/20/2013

Expiration Date

09/30/2015

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

04/25/2016