RITA LAURINE GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000840

License Status

NOT RENEWED

Business

First Name

RITA LAURINE

Last Name

GREEN

Business Name

RITA LAURINE GREEN

Original Issue Date

07/18/1966

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

11/04/2009