COLLEEN MANUEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003006

License Status

NOT RENEWED

Business

First Name

COLLEEN

Last Name

MANUEL

Business Name

COLLEEN MANUEL

Original Issue Date

09/20/1976

Effective Date

08/31/2012

Expiration Date

09/30/2015

City

FARMER CITY

State

Zip

61842

County

DE WITT

Ever Disciplined

LastModifiedDate

04/25/2016