CONSTANCE C HICKS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003973

License Status

NOT RENEWED

Business

First Name

CONSTANCE C

Last Name

HICKS

Business Name

CONSTANCE C HICKS

Original Issue Date

08/17/1979

Effective Date

08/17/1979

Expiration Date

09/30/2000

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005