CARLA A LUNDY WHEATON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002299

License Status

INACTIVE

Business

First Name

CARLA A

Last Name

LUNDY WHEATON

Business Name

CARLA A LUNDY WHEATON

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1996

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/12/2005