CARLENE GRACE COLLINS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000626

License Status

NOT RENEWED

Business

First Name

CARLENE GRACE

Last Name

COLLINS

Business Name

CARLENE GRACE COLLINS

Original Issue Date

07/17/1963

Effective Date

07/17/1963

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

10/12/2005