MARIANNE F BURKS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006721

License Status

INACTIVE

Business

First Name

MARIANNE F

Last Name

BURKS

Business Name

MARIANNE F BURKS

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

09/30/1992

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005