BRENDA J TAYLOR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005456

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

TAYLOR

Suffix

DMD

Business Name

BRENDA J TAYLOR DMD

Original Issue Date

01/25/1984

Effective Date

01/25/1984

Expiration Date

09/30/1994

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005