SANDRA ANN TARVIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004430

License Status

NOT RENEWED

Business

First Name

SANDRA ANN

Last Name

TARVIN

Business Name

SANDRA ANN TARVIN

Original Issue Date

02/20/1981

Effective Date

02/20/1981

Expiration Date

09/30/1998

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005