PENNY L PICKEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001359

License Status

INACTIVE

Business

First Name

PENNY L

Last Name

PICKEN

Business Name

PENNY L PICKEN

Original Issue Date

07/07/1970

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

06/06/2012