TERRY L PETTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005378

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

PETTY

Business Name

TERRY L PETTY

Original Issue Date

08/12/1983

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

11/04/2009