MARLENE F BALLARD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006844

License Status

NOT RENEWED

Business

First Name

MARLENE F

Last Name

BALLARD

Business Name

MARLENE F BALLARD

Original Issue Date

11/07/1988

Effective Date

11/07/1988

Expiration Date

09/30/2000

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005