MELITTA T EBNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003436

License Status

NOT RENEWED

Business

First Name

MELITTA T

Last Name

EBNER

Business Name

MELITTA T EBNER

Original Issue Date

04/04/1978

Effective Date

04/04/1978

Expiration Date

04/01/1982

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/12/2005