CAROLE L GENTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004507

License Status

NOT RENEWED

Business

First Name

CAROLE L

Last Name

GENTA

Business Name

CAROLE L GENTA

Original Issue Date

06/25/1981

Effective Date

09/30/2021

Expiration Date

09/30/2024

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

02/04/2025