MARCIA K GREEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008687

License Status

ACTIVE

Business

First Name

MARCIA K

Last Name

GREEN

Business Name

MARCIA K GREEN

Original Issue Date

06/25/1996

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/28/2024