VICKYE COX SECRIST Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002129

License Status

NOT RENEWED

Business

First Name

VICKYE COX

Last Name

SECRIST

Business Name

VICKYE COX SECRIST

Original Issue Date

10/25/1973

Effective Date

10/25/1973

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005