MARILYN GREEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006823

License Status

INACTIVE

Business

First Name

MARILYN

Last Name

GREEN

Business Name

MARILYN GREEN

Original Issue Date

10/05/1988

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/28/2015