RUSTIE RHAE HARRELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003989

License Status

NOT RENEWED

Business

First Name

RUSTIE RHAE

Last Name

HARRELL

Business Name

RUSTIE RHAE HARRELL

Original Issue Date

08/30/1979

Effective Date

08/01/2018

Expiration Date

01/31/2022

City

BARTELSO

State

Zip

62218

County

CLINTON

Ever Disciplined

LastModifiedDate

05/09/2022