NANCY A HALLER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002054

License Status

INACTIVE

Business

First Name

NANCY A

Last Name

HALLER

Business Name

NANCY A HALLER

Original Issue Date

07/11/1973

Effective Date

08/06/2009

Expiration Date

09/30/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/06/2012