CYNTHIA R DESELMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003796

License Status

NOT RENEWED

Business

First Name

CYNTHIA R

Last Name

DESELMS

Business Name

CYNTHIA R DESELMS

Original Issue Date

06/26/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

11/04/2009