SHIRLEY RODRIGUEZ GLEASON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008061

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

RODRIGUEZ

Last Name

GLEASON

Business Name

SHIRLEY RODRIGUEZ GLEASON

Original Issue Date

08/16/1993

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/04/2009