DEBRA S MAXWELL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005781

License Status

INACTIVE

Business

First Name

DEBRA S

Last Name

MAXWELL

Business Name

DEBRA S MAXWELL

Original Issue Date

07/11/1985

Effective Date

09/10/2018

Expiration Date

12/31/2021

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

09/12/2021