LINDA J CUSTIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002430

License Status

NOT RENEWED

Business

First Name

LINDA J

Last Name

CUSTIS

Business Name

LINDA J CUSTIS

Original Issue Date

08/13/1974

Effective Date

08/13/1974

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005