NATALIE J FULLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009153

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

FULLER

Business Name

NATALIE J FULLER

Original Issue Date

03/09/1998

Effective Date

09/06/2018

Expiration Date

01/31/2022

City

COFFEEN

State

Zip

62017

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/09/2022