RONICA GRACE RUNYAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002057

License Status

NOT RENEWED

Business

First Name

RONICA GRACE

Last Name

RUNYAN

Business Name

RONICA GRACE RUNYAN

Original Issue Date

07/11/1973

Effective Date

07/11/1973

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005