GLENN WILLIAM STILWELL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004226

License Status

INACTIVE

Business

First Name

GLENN WILLIAM

Last Name

STILWELL

Business Name

GLENN WILLIAM STILWELL

Original Issue Date

07/15/1980

Effective Date

09/18/2009

Expiration Date

09/30/2012

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

06/06/2012