BRENDA S PEREZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008149

License Status

NOT RENEWED

Business

First Name

BRENDA S

Last Name

PEREZ

Business Name

BRENDA S PEREZ

Original Issue Date

11/12/1993

Effective Date

11/12/1993

Expiration Date

09/30/1998

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005