CHERI LYNNE PRUSA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009426

License Status

INACTIVE

Business

First Name

CHERI

Middle

LYNNE

Last Name

PRUSA

Business Name

CHERI LYNNE PRUSA

Original Issue Date

03/23/1999

Effective Date

10/02/2018

Expiration Date

12/31/2021

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

12/31/2021