PATRICIA JO GREEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002589

License Status

INACTIVE

Business

First Name

PATRICIA JO

Last Name

GREEN

Business Name

PATRICIA JO GREEN

Original Issue Date

07/10/1975

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/08/2015