MARILYN GENE WALTERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004336

License Status

NOT RENEWED

Business

First Name

MARILYN GENE

Last Name

WALTERS

Business Name

MARILYN GENE WALTERS

Original Issue Date

08/28/1980

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

11/08/2006