DELLA J FULK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002803

License Status

NOT RENEWED

Business

First Name

DELLA

Middle

Last Name

FULK

Business Name

DELLA J FULK

Original Issue Date

07/13/1976

Effective Date

08/03/2015

Expiration Date

09/30/2018

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/31/2018