CONSTANCE S MARLATT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005393

License Status

NOT RENEWED

Business

First Name

CONSTANCE S

Last Name

MARLATT

Business Name

CONSTANCE S MARLATT

Original Issue Date

08/25/1983

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

DECATUR

State

Zip

62521

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2018