MARCELLA MICHELE HERZOG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004143

License Status

NOT RENEWED

Business

First Name

MARCELLA MICHELE

Last Name

HERZOG

Business Name

MARCELLA MICHELE HERZOG

Original Issue Date

07/01/1980

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

WASHINGTON PARK

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2009