GEORGANA LOUISE DONNELLY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004164

License Status

INACTIVE

Business

First Name

GEORGANA LOUISE

Last Name

DONNELLY

Business Name

GEORGANA LOUISE DONNELLY

Original Issue Date

07/15/1980

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/24/2006