DONNA MUZETTE SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000415

License Status

NOT RENEWED

Business

First Name

DONNA MUZETTE

Last Name

SMITH

Business Name

DONNA MUZETTE SMITH

Original Issue Date

07/29/1959

Effective Date

07/29/1959

Expiration Date

09/30/1992

City

GERMAN VALLEY

State

Zip

61039

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/12/2005