DEBRA SUE LANDIS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002002

License Status

INACTIVE

Business

First Name

DEBRA SUE

Last Name

LANDIS

Business Name

DEBRA SUE LANDIS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/2002

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005