NANCY J ROOT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008922

License Status

INACTIVE

Business

First Name

NANCY J

Last Name

ROOT

Business Name

NANCY J ROOT

Original Issue Date

03/18/1997

Effective Date

09/19/2018

Expiration Date

12/31/2021

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

09/12/2021