MARLENE CELIA TAYLOR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001823

License Status

NOT RENEWED

Business

First Name

MARLENE CELIA

Last Name

TAYLOR

Business Name

MARLENE CELIA TAYLOR

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/2004

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005