TERRY LEE POGORELAC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003126

License Status

NOT RENEWED

Business

First Name

TERRY LEE

Last Name

POGORELAC

Business Name

TERRY LEE POGORELAC

Original Issue Date

06/09/1977

Effective Date

06/09/1977

Expiration Date

09/30/2004

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

10/17/2005