MARY LISA WHITE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005543

License Status

ACTIVE

Business

First Name

MARY

Middle

LISA

Last Name

WHITE

Business Name

MARY LISA WHITE

Original Issue Date

06/13/1984

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/29/2024