CHERYL LEE LARSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003770

License Status

NOT RENEWED

Business

First Name

CHERYL LEE

Last Name

LARSON

Business Name

CHERYL LEE LARSON

Original Issue Date

04/27/1979

Effective Date

04/27/1979

Expiration Date

04/01/1982

City

SPRINGFIELD

State

Zip

62703

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/12/2005