BETTY DOLORES LACY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000935

License Status

INACTIVE

Business

First Name

BETTY DOLORES

Last Name

LACY

Business Name

BETTY DOLORES LACY

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/1990

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005