MARCIA RUTH SALLMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002428

License Status

NOT RENEWED

Business

First Name

MARCIA RUTH

Last Name

SALLMAN

Business Name

MARCIA RUTH SALLMAN

Original Issue Date

08/13/1974

Effective Date

08/13/1974

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005