MARCIA K SIEBERT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002600

License Status

INACTIVE

Business

First Name

MARCIA K

Last Name

SIEBERT

Business Name

MARCIA K SIEBERT

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005