BRENDA J BAILEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007493

License Status

INACTIVE

Business

First Name

BRENDA J

Last Name

BAILEY

Business Name

BRENDA J BAILEY

Original Issue Date

08/05/1991

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

06/06/2012