MICHELLE DEVAULL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004163

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

DEVAULL

Business Name

MICHELLE DEVAULL

Original Issue Date

07/15/1980

Effective Date

07/15/1980

Expiration Date

09/30/1986

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/12/2005