PATRICIA A CAPPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007383

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

CAPPS

Business Name

PATRICIA A CAPPS

Original Issue Date

06/14/1991

Effective Date

06/14/1991

Expiration Date

09/30/1996

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005