MARY LYNN FISH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009601

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LYNN

Last Name

FISH

Business Name

MARY LYNN FISH

Original Issue Date

08/12/1999

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/09/2022