MADONNA S MCCASLIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002308

License Status

INACTIVE

Business

First Name

MADONNA S

Last Name

MCCASLIN

Business Name

MADONNA S MCCASLIN

Original Issue Date

07/03/1974

Effective Date

06/30/2015

Expiration Date

09/30/2018

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/31/2018