LORY L MADDOX Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006363

License Status

NOT RENEWED

Business

First Name

LORY L

Last Name

MADDOX

Business Name

LORY L MADDOX

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005