LOUELLEN TATRO LUSK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009635

License Status

INACTIVE

Business

First Name

LOUELLEN

Middle

TATRO

Last Name

LUSK

Business Name

LOUELLEN TATRO LUSK

Original Issue Date

09/28/1999

Effective Date

06/11/2009

Expiration Date

09/30/2012

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

06/06/2012