CANDACE JEAN MARSHALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002012

License Status

NOT RENEWED

Business

First Name

CANDACE JEAN

Last Name

MARSHALL

Business Name

CANDACE JEAN MARSHALL

Original Issue Date

07/11/1973

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016