MARY ELIZABETH AUTEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003872

License Status

NOT RENEWED

Business

First Name

MARY ELIZABETH

Last Name

AUTEN

Business Name

MARY ELIZABETH AUTEN

Original Issue Date

07/06/1979

Effective Date

07/06/1979

Expiration Date

09/30/1984

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005