DEBRA ANN PROULX Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003359

License Status

NOT RENEWED

Business

First Name

DEBRA ANN

Last Name

PROULX

Business Name

DEBRA ANN PROULX

Original Issue Date

09/16/1977

Effective Date

09/16/1977

Expiration Date

09/30/1984

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/12/2005