DIXIE LEE VAN ME DUCKETT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000256

License Status

INACTIVE

Business

First Name

DIXIE LEE VAN ME

Last Name

DUCKETT

Business Name

DIXIE LEE VAN ME DUCKETT

Original Issue Date

07/29/1955

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/24/2006