PATRICIA JEAN MAMMOSER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002644

License Status

NOT RENEWED

Business

First Name

PATRICIA JEAN

Last Name

MAMMOSER

Business Name

PATRICIA JEAN MAMMOSER

Original Issue Date

07/29/1975

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/09/2022