DOUGLAS LEE WORMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003243

License Status

NOT RENEWED

Business

First Name

DOUGLAS LEE

Last Name

WORMS

Business Name

DOUGLAS LEE WORMS

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

09/30/1984

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005