ROSALEE HUMPHREY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003828

License Status

NOT RENEWED

Business

First Name

ROSALEE

Last Name

HUMPHREY

Business Name

ROSALEE HUMPHREY

Original Issue Date

06/29/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/04/2009