CAROLYN MARIE NEIRA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001777

License Status

INACTIVE

Business

First Name

CAROLYN MARIE

Last Name

NEIRA

Business Name

CAROLYN MARIE NEIRA

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1998

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/12/2005