MARY JANE BANGO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002924

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

BANGO

Business Name

MARY JANE BANGO

Original Issue Date

07/13/1976

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

05/09/2022