JEANNIE M MARSHALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008704

License Status

NOT RENEWED

Business

First Name

JEANNIE

Middle

Last Name

MARSHALL

Business Name

JEANNIE M MARSHALL

Original Issue Date

06/27/1996

Effective Date

08/06/2018

Expiration Date

01/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/09/2022