COLETTA MARIE SPEARS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001816

License Status

NOT RENEWED

Business

First Name

COLETTA MARIE

Last Name

SPEARS

Business Name

COLETTA MARIE SPEARS

Original Issue Date

07/13/1972

Effective Date

07/13/1972

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005