GRACE ELIZABETH TONGATE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002873

License Status

INACTIVE

Business

First Name

GRACE ELIZABETH

Last Name

TONGATE

Business Name

GRACE ELIZABETH TONGATE

Original Issue Date

07/13/1976

Effective Date

08/04/2009

Expiration Date

09/30/2012

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/06/2012