DAWN GREEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003361

License Status

INACTIVE

Business

First Name

DAWN

Last Name

GREEN

Business Name

DAWN GREEN

Original Issue Date

09/16/1977

Effective Date

09/16/1977

Expiration Date

09/30/1994

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005