LORI A GREEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006368

License Status

NOT RENEWED

Business

First Name

LORI A

Last Name

GREEN

Business Name

LORI A GREEN

Original Issue Date

07/13/1987

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

04/25/2016