DONNA RAE EVANS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003847

License Status

INACTIVE

Business

First Name

DONNA RAE

Last Name

EVANS

Business Name

DONNA RAE EVANS

Original Issue Date

07/03/1979

Effective Date

07/02/2018

Expiration Date

12/31/2021

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

12/22/2021