RAE ELLEN HOLT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001726

License Status

NOT RENEWED

Business

First Name

RAE ELLEN

Last Name

HOLT

Business Name

RAE ELLEN HOLT

Original Issue Date

07/12/1972

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/31/2018