JUDY HIGGERSON BENNETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003819

License Status

NOT RENEWED

Business

First Name

JUDY HIGGERSON

Last Name

BENNETT

Business Name

JUDY HIGGERSON BENNETT

Original Issue Date

06/29/1979

Effective Date

08/06/2015

Expiration Date

09/30/2018

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/31/2018