CONNIE SUE BARKLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003686

License Status

NOT RENEWED

Business

First Name

CONNIE SUE

Last Name

BARKLEY

Business Name

CONNIE SUE BARKLEY

Original Issue Date

09/11/1978

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

GERMANTOWN HILLS

State

Zip

61548

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022