JEAN ANN MCCULLEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002569

License Status

INACTIVE

Business

First Name

JEAN ANN

Last Name

MCCULLEY

Business Name

JEAN ANN MCCULLEY

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005