BARBARA M NEWSAM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002580

License Status

INACTIVE

Business

First Name

BARBARA M

Last Name

NEWSAM

Business Name

BARBARA M NEWSAM

Original Issue Date

07/10/1975

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/24/2006