NANCY JO STARK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001506

License Status

INACTIVE

Business

First Name

NANCY JO

Last Name

STARK

Business Name

NANCY JO STARK

Original Issue Date

07/08/1971

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FAIRMOUNT

State

Zip

61841

County

VERMILION

Ever Disciplined

LastModifiedDate

07/24/2006