CARRIE J PARKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008775

License Status

NOT RENEWED

Business

First Name

CARRIE J

Last Name

PARKER

Business Name

CARRIE J PARKER

Original Issue Date

07/22/1996

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2006