ROBERTA D GANIM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002240

License Status

INACTIVE

Business

First Name

ROBERTA D

Last Name

GANIM

Business Name

ROBERTA D GANIM

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/2004

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005