DENISE L MORTIMORE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007078

License Status

NOT RENEWED

Business

First Name

DENISE L

Last Name

MORTIMORE

Business Name

DENISE L MORTIMORE

Original Issue Date

09/30/1989

Effective Date

12/29/2021

Expiration Date

09/30/2024

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

02/04/2025