SHARI IOLENE BIRCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004011

License Status

NOT RENEWED

Business

First Name

SHARI IOLENE

Last Name

BIRCH

Business Name

SHARI IOLENE BIRCH

Original Issue Date

09/07/1979

Effective Date

08/06/2009

Expiration Date

09/30/2012

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

11/14/2012