CARLA KAY SHIRLEY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008014

License Status

INACTIVE

Business

First Name

CARLA KAY

Last Name

SHIRLEY

Business Name

CARLA KAY SHIRLEY

Original Issue Date

07/28/1993

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

06/06/2012