STEPHANIE L BAZZELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006080

License Status

NOT RENEWED

Business

First Name

STEPHANIE L

Last Name

BAZZELL

Business Name

STEPHANIE L BAZZELL

Original Issue Date

07/15/1986

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/20/2007