COLLEEN ANN LAWHEAD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003748

License Status

INACTIVE

Business

First Name

COLLEEN ANN

Last Name

LAWHEAD

Business Name

COLLEEN ANN LAWHEAD

Original Issue Date

03/09/1979

Effective Date

03/09/1979

Expiration Date

09/30/2000

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005