BRENDA KAY MATTINGLY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008817

License Status

INACTIVE

Business

First Name

BRENDA KAY

Last Name

MATTINGLY

Business Name

BRENDA KAY MATTINGLY

Original Issue Date

08/15/1996

Effective Date

09/05/2018

Expiration Date

09/30/2021

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/05/2018