BETTY E LATHIM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007884

License Status

INACTIVE

Business

First Name

BETTY E

Last Name

LATHIM

Business Name

BETTY E LATHIM

Original Issue Date

12/28/1992

Effective Date

12/28/1992

Expiration Date

09/30/1998

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/12/2005