CATHERINE ROSE BROCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004891

License Status

NOT RENEWED

Business

First Name

CATHERINE ROSE

Last Name

BROCK

Business Name

CATHERINE ROSE BROCK

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/1984

City

MACON

State

Zip

62551

County

MACON

Ever Disciplined

LastModifiedDate

10/12/2005