TERESA MARIE HAGEMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003504

License Status

NOT RENEWED

Business

First Name

TERESA MARIE

Last Name

HAGEMAN

Business Name

TERESA MARIE HAGEMAN

Original Issue Date

06/20/1978

Effective Date

09/10/2015

Expiration Date

09/30/2018

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

10/31/2018