KATHLEEN A HAZEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007900

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

HAZEN

Business Name

KATHLEEN A HAZEN

Original Issue Date

02/25/1993

Effective Date

02/25/1993

Expiration Date

09/30/1996

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/12/2005