JUDY ANN PISTORIUS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000819

License Status

INACTIVE

Business

First Name

JUDY ANN

Last Name

PISTORIUS

Business Name

JUDY ANN PISTORIUS

Original Issue Date

07/15/1965

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

06/06/2012