GEORGIA M DOUGHERTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001494

License Status

NOT RENEWED

Business

First Name

GEORGIA M

Last Name

DOUGHERTY

Business Name

GEORGIA M DOUGHERTY

Original Issue Date

07/08/1971

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/31/2018