TRUDY KAY DETRICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001035

License Status

NOT RENEWED

Business

First Name

TRUDY KAY

Last Name

DETRICH

Business Name

TRUDY KAY DETRICH

Original Issue Date

07/16/1968

Effective Date

07/16/1968

Expiration Date

04/01/1982

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005