MARLISE L BYRD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008125

License Status

ACTIVE

Business

First Name

MARLISE L

Last Name

BYRD

Business Name

MARLISE L BYRD

Original Issue Date

10/12/1993

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

WASHBURN

State

Zip

61570

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/13/2024