THERESA KLEIN DORAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005106

License Status

NOT RENEWED

Business

First Name

THERESA KLEIN

Last Name

DORAN

Business Name

THERESA KLEIN DORAN

Original Issue Date

01/17/1983

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

04/25/2016