CYNTHIA ANN MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002756

License Status

NOT RENEWED

Business

First Name

CYNTHIA ANN

Last Name

MARTIN

Business Name

CYNTHIA ANN MARTIN

Original Issue Date

01/19/1976

Effective Date

01/19/1976

Expiration Date

04/01/1982

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005