CAROLYN JEAN PEACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001688

License Status

NOT RENEWED

Business

First Name

CAROLYN JEAN

Last Name

PEACH

Business Name

CAROLYN JEAN PEACH

Original Issue Date

07/13/1972

Effective Date

09/26/2018

Expiration Date

01/31/2022

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/09/2022