MARTHA D DEAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007154

License Status

NOT RENEWED

Business

First Name

MARTHA D

Last Name

DEAN

Business Name

MARTHA D DEAN

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

09/30/2004

City

TISKILWA

State

Zip

61368

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005