CHARLOTTE LOUISE ERNST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000742

License Status

NOT RENEWED

Business

First Name

CHARLOTTE LOUISE

Last Name

ERNST

Business Name

CHARLOTTE LOUISE ERNST

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

09/30/1994

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005